Terrier Care

Felicia Kimbrough, FNP-BC, DNP

Terrier Care Documents
Shawnee Health Service Information	Frequently Asked Questions
Patient Registration & Consent Form	Confidential Information Release Form
School Health Center Information Form (Sign and return this form to give permission for your child to be seen at the School Health Center if you are not present).
Adolescent History Form	Adult History Form
Shawnee Health Service Financial Assistance Program	School Physical Form
Shawnee Health Service Notice of Privacy Practices	Medication Authorization Form
Dental Exam Form	Allergy Action Plan
Asthma Action Plan	Diabetes Plan Diabetes Guide for Parents and Guardians
Seizure Action Plan
IDPH Meningococcal Disease and Vaccination Information	CDC Influenza and Vaccination Information
Terrier Care School Health Center provides convenient family medicine for all students and their families, faculty, and staff of Carbondale Community High School and District 95.