Nursing Services and Forms

Health Services


Heather Peterson 
School LPN
Phone  (440) 693-4125
Fax: (440) 685-4656
Email: Heather.Peterson@blmschools.org 
If your child requires medication to be administered at school, please complete the appropriate form. Parents are responsible for the delivery of the medication to school. Medications must be in its original container and clearly labeled with the student's name.
Health forms must be completed & given to the office each year
Medication - prescription medication Form - Click Here   
OTC Medication Form - Click Here
Asthma Medication Form - Click Here 
Asthma Acton Form - Click Here
Seizure action plan - Click Here
Epi- Pen physician Form -  Click Here
Food Allergy Anaphylaxis action plan - Click Here
Bee Allergy Anaphylaxis action plan -  Click Here
Diabetes Management Plan (DMPP)  -  Click Here
Quick Reference Emergency Plan for students with Diabetes - Click Here
Immunizations required for PreK, K, 7th & 12th-grade students. An updated immunization record must be given to the office before the 1st day of school with the required vaccines. You may fax them to Mespo 440-693-4656 or Bloomfield 440-685-4751.
Required Immunizations for school-aged children - Click Here
Ohio Department of Health Vaccine Information Click Here
PreSchool - medical statement Click Here
Immunization Waiver  Click Here  (required to be signed yearly*)
Clinic sites/dates - Click Here
Head Lice 
Bloomfield - Mespo Local Schools have a "no-live lice" policy. If your child has been identified with live lice, he/she will be sent home. Hair treatment, as well as home care, must be done prior to returning to school. Parent must bring the student in on the first day of returning from head lice, the student must have a head exam & be cleared to return to class.
Head Lice information - Click Here
Head Lice Home Care Brochure ODH  Click Here
CDC FAQ Page  - Click Here
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