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T.H. Rogers School

Where academics and character matter.

Welcome to the T.H. Rogers Clinic page! We love our students!

You can download and print these forms.

Physician Orders for Tube Feedings

Gastric_Feedings_Physician_Orders.pdf 88.8 KB (Last Modified on April 18, 2023)

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Self Administration of Emergency Medication for Treatment of Asthma, Anaphylaxis and Diabetes

Self -Administration of Emergency Medication for Treatment of Asthma, Anaphylaxis and Diabetes while on HISD Campus

Medication_Administration_Form_Self_Carry_rev_08-2018.pdf 135.15 KB (Last Modified on April 18, 2023)

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Physician Orders for Urinary Catheterization

Physician Orders for Urinary Catheterization

Physician_Orders_for_Urinary_Catheterization_07.22.pdf 154.72 KB (Last Modified on April 18, 2023)

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Physician Respiratory Order

Physician Respiratory Order

Physician_Respiratory_Order__07.22.pdf 184.57 KB (Last Modified on April 18, 2023)

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Food Allergy & Anaphylaxis Action Plan

Food Allergy _Anaphylaxis Action Plan.pdf 402.17 KB (Last Modified on April 18, 2023)

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Seizure Action Plan

Seizure Action Plan.pdf 107.84 KB (Last Modified on September 16, 2022)

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Physician Request for Special Dietary Accommodations

Physician Request for Special Dietary Accommodations.pdf 1,012.08 KB (Last Modified on September 16, 2022)

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Doctor Order for Medication

Doctor Order for Medication.pdf 367.78 KB (Last Modified on September 16, 2022)

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Asthma Action Plan

Asthma Action Plan.pdf 937.97 KB (Last Modified on September 16, 2022)

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Health Inventory

HealthInventory-English-are.pdf 99.99 KB (Last Modified on March 5, 2020)

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