Head Lice Search Results
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1Head Lice Search Results
Head Lice Search Results
Child
Child
Student Name:
Student Name:
Teacher:
Teacher:
Class:
Class:
Examination
Examination
Date:
Time:
Date:
Time:
Health Aide/Nurse:
Health Aide/Nurse:
Equipment Used:
Equipment Used:
Results:
Results:
Child Is…
Child Is…
Lice-free and may return to class immediately
Lice-free and may return to class immediately
Infected with lice and may not return to class
Infected with lice and may not return to class
until no live lice can be found.
until no live lice can be found.
Signature:
Signature:
Head Lice Search Results
Head Lice Search Results
Child
Child
Student Name:
Student Name:
Teacher:
Teacher:
Class:
Class:
Examination
Examination
Date:
Time:
Date:
Time:
Health Aide/Nurse:
Health Aide/Nurse:
Equipment Used:
Equipment Used:
Results:
Results:
Child Is…
Child Is…
Lice-free and may return to class immediately
Lice-free and may return to class immediately
Infected with lice and may not return to class
Infected with lice and may not return to class
until no live lice can be found.
until no live lice can be found.
Signature:
Signature:
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Parent category: Medical