Emergency Forms

Emergency forms are distributed to students on the first day of school and should be returned on the second day of school with complete and accurate information. This information is essential to contact the parent/guardian or other designated adult if the nurse needs information about managing your child’s health and safety during school hours or if the child needs to be picked up from school. 

Daytime telephone numbers (work, home, cell phone, pagers) should be given for parents/guardians and other emergency contacts. 

All information is confidential and MUST be updated if there are any changes. 

Children who require emergency care or urgent care when a parent or emergency contact cannot be reached will be transported via ambulance to Somerville Hospital.  Payment for ambulance service can be covered by the child’s insurance company or the parent/guardian.