Camden-Rockport Middle School

Home of the Schooners

Nurse's Station

Health Forms

Health History: This must be completed annually for ALL students.

Download Health History Form.pdf

Physical Examination: This must be completed and signed by a physician for all students wishing to participate in school athletics. This needs to be completed one time during a student's middle school career, or more often if there is a significant change in health status. 

Download Physical Exam Form.pdf

Concussion Policy: Please click on this link to read the MSAD 28 policy on concussions. There is no separate form to sign, instead sign the bottom of the health history form indicating that you have read and understand this policy. 

Asthma Action Plan

Allergy Action Plan

Medications in School

If your child needs to take any medication for any reason (other than acetaminophen or ibuprofen) while at school, please contact me right away. All medications need to be stored and locked in the nurse’s office. No medication may be carried by students or kept in student lockers (with the exception of epi-pens and inhalers with permission). A doctor’s order must be provided in order for medication to be administered in school. Please print the form below and have it signed by your primary care provider.

Download Med Administration CRMS.pdf

Exemption From Immunizations

If you child does not have the state required immunizations, you must complete an immunization exemption form every year.

Download exemption form 144.pdf

Please feel free to contact me with any questions or concerns. 

Kristin Nelson, RN

Life Threatening Allergy Protocol

Life-Threatening Allergies & Anaphylaxis Protocol