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Health Services Department -
Kamehameha Schools Maui

Elementary School
Bernadette Reiter, RN, BSN
275 'A'apueo Parkway
Pukalani, HI 96768
Phone: (808) 572-3222
Email: Bernadette Reiter, RN

Middle School
Malia Song, RN, BSN
281 'A'apueo Parkway
Pukalani, HI 96768
Phone: (808) 572-4221
Email: Malia Song, RN


High
School
Sue Hardesty, RN, BSN
270 'A'apueo Parkway
Pukalani, HI 96768
Phone: (808) 573-7073
Email:
Sue Hardesty, RN


Health Services Department
Maui Campus


Downloadable Forms

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Middle School Student Forms

Jump to: High School | Middle School | Elementary School

Athletic Participation Form

Authorization To Release Information
Used to authorize release of reports, information to Kamehameha Schools.

Authorization To Release Student Health Records
Submit to Health Services Department when you need copies of medical information in KS Medical Records.

Request For Administration of Medication
Necessary when your child needs to carry/take any medication (over-the-counter or prescription) at school.

Middle School | Top

For Middle School health questions, please contact Malia Song, RN at 572-4221.

New Invitee - Middle School (Grades 6 - 8)

Cover Letter – New Invitee Middle School
(Explanation of Required Forms)

Health Record Requirements - Middle School

Permission For Medical Treatment and Release (PTR)

Student Health Record – New Invitee

Middle School Student Immunization Record

Athletic Participation Form

Request For Administration Of Medication Form

 
8th Grade – Returning

Cover Letter – Returning Grades 7 & 8 (Explanation of Required Forms)

Health Record Requirements - Middle School

Permission For Medical Treatment and Release (PTR)

Athletic Participation Form

Request For Administration Of Medication Form

 
7th Grade – Returning

Cover Letter – Returning Grades 7 & 8 (Explanation of Required Forms)

Health Record Requirements - Middle School

Permission For Medical Treatment and Release (PTR)

Athletic Participation Form

Request For Administration Of Medication Form

 
6th Grade – Returning

Cover Letter – Returning Grade 6 - (Explanation of Required Forms)

Health Record Requirements - Middle School

Permission For Medical Treatment and Release (PTR)

Student Health Record – Returning

Middle School Student Immunization Record

Athletic Participation Form

Request For Administration Of Medication Form

 

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