Nurse Appointments at Liberty High School
Please fill out for a Nurse Appointment. Please BE WATCHING YOUR EMAIL as we will respond to you there with when you can come to see us at the Nurse Office. We will see you as soon as possible. 

If this is an emergency, please don't wait - just come and see us. 

Please know that you are free to come to the self-care cart located just inside the nurses office to grab basic care items at any time during passing periods or lunch hour.  

**If a student or staff member needs to be seen immediately, do not hesitate to call the nurse to get immediate medical assistance.  
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Email *
Who will the nurse be seeing? *
First Name *
Last Name *
Grade *
Room Number/Teacher Name *
Who is refering student? *
Student/teacher symptoms: (mark all that apply) *
Required
If other please explain your symptoms
How long have you had these symptoms? *
Have you tried: *
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