4th and 5th Grade Center Clinic

Welcome to the Fourth and Fifth Grade Clinic, my name is Melissa Bachoura and I am the clinic assistant here. My office hours are from 7:00 a.m.-3:30 p.m. and I'm available to answer questions or address concerns you may have about your student and their health needs at school.  Please refer to the Parent/Student Handbook for medication guidelines and procedures or if you have individual questions, please contact me at 352-259-6850 or you may also send an email to melissa.bachoura@tvcs.org.

Clinic Acrobat(.PDF) Documents

Allergy Emergency Action Plan - Allergy Emergency Action Plan
Allergy Parent Interview - Allergy Parent Interview
Asthma Care Plan - Asthma Care Plan
Asthma Emergency Action Plan - Asthma Emergency Action Plan
Asthma Parent Interview - Asthma Parent Interview
Diabetes Emergency Action Plan - Diabetes Emergency Action Plan
Diabetes Health Care Plan - Diabetes Health Care Plan
Generic Individual Health Care Plan - Generic Individual Health Care Plan
Generic Parent Interview Guide - Generic Parent Interview Guide
Medication Administration Guidelines - VCS Medication Administration Guidelines
Seizure Emergency Action Plan - Seizure Emergency Action Plan
Seizure Health Care Plan - Seizure Health Care Plan
Seizure Parent Interview - Seizure Parent Interview
Severe Allergy Health Care Plan - Severe Allergy Health Care Plan
Sumter County Diabetes Parent History Form - Diabetes Parent History Form
Sumter County Diabetic Supply Checklist - Student Diabetic Supply Checklist
Sumter County Medication Authorization Form - Prescription and Non-Prescription Medication
VCS Anaphylaxis Form - VCS Anaphylaxis Form
VCS HEALTH CLINIC STUDENT FORMS CHECKLIST - VCS HEALTH CLINIC STUDENT FORMS CHECKLIST
VCS PRN Medication Authorization Form - Non-Prescription (Over-the-counter) Medications

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