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Loyalsock Township School District

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  • Schools
    • Loyalsock Township High School
    • Loyalsock Township Middle School
    • Donald E. Schick Elementary School
    • Lancer Learning Institute
      • Log in to your LLI Courses
    • Little Lancer Pre-K
      • Enrollment Application
      • Printable Brochure – PDF
      • Eligibility
      • FAQ
  • Our District
    • About Loyalsock
    • Superintendent
    • Administrative Team
    • Staff Directory
    • Business Office
      • Bid Opportunities
    • Employment Opportunities
    • K-12 Services
      • Career Services
      • Food Services
      • Health Services
      • Special Education Services
      • Technology Services
      • Transportation Services
    • Curriculum and Instruction
      • Comprehensive Planning
      • Comprehensive Plan -K-12 Guidance
      • Curriculum and Instruction
      • Curriculum Teams
      • Educator Effectiveness System
      • Self-Guided Professional Learning
    • Wellness
    • Workplace Safety
  • For Employees
    • Website Login
    • ClassLink
    • Lancer Moodle
    • CSIU SIS
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    • PA-ETEP
    • Comply
    • Frontline
    • DaRTS
    • Employee Portal
    • PVAAS

Leave Your Legacy

  • Required Immunizations
  • Medical Forms/Protocols
  • Mandated Health Screenings/Physicals
  • Type 1 Diabetes Information

Medical Forms/Protocols

Medical Forms & Medication Protocol

Anaphylaxis Allergy Medication Order Form-Emergency Care Plan (FARE form)

Asthma Inhaler Provider Order Form

Parent Consent Form for Inhaler

Medication Protocol

Medication Order Form-Provider Orders

Parent Consent Form for Medication(s)

Private Dentist Report Form (Entry, grades 3 & 7)

Private Physical Exam Form (Entry, grades 6 & 11)

Mobile Dentist Form

School Nurse First Aid Form

  • Donald E. Schick Elementary

  • 2800 Four Mile Drive
  • Montoursville, PA 17754
  • Phone: (570) 236-3554
  • Fax: (570) 366-1498
  • Loyalsock Middle School

  • 2101 Loyalsock Drive
  • Williamsport, PA 17701
  • Phone: (570) 323-9439
  • Fax: (570) 322-3952
  • Loyalsock High School

  • 1801 Loyalsock Drive
  • Williamsport, PA 17701
  • Phone: (570) 326-3581
  • Fax: (570) 323-5303
  • Loyalsock District Office

  • 1605 Four Mile Drive
  • Williamsport, PA 17701
  • Phone: (570) 326-6508
  • Fax: (570) 326-0770
Loyalsock Lancer logo