Health Services
Medication Request Form
CHIRP Release
Seizure Parent Information Form
Emergency Medication Authorization
Chronic Health Condition Form
Immunization Objection Form
Allergic Reaction Action Plan
Medication Request Form
Asthma Action Plan
Allegic Reaction Parent Information
Seizure Action Plan
Physical Exam Form
District Nurses
New Paris Elementary
School Nurse/FCS District Nurse Coordinator:
Melanie Kaufman, BSN, RN — mkaufman@fairfield.k12.in.us
Fairfield Junior/Senior High School
School Nurse: Emily Vargas, RN — evargas@fairfield.k12.in.us
Benton Elementary
School Nurse: Hailey Wisler, BSN, RN — hwisler@fairfield.k12.in.us
Millersburg Elementary/Middle School
School Nurse: Kim Espinoza, LPN — kespinoza@fairfield.k12.in.us
