Forms
Illinois DHS Certificate of Child Health Exam (2 pgs)
Authorization for Administration of Medication (2 pgs)
Diabetes Medical Management Plan (2 pgs)
Food Alergy Action Plan
Asthma Action Plan
Seizure Action Plan

CLS School Nurse:
Mary Keyse, BSN, RN,MAT

Phone: 815-455-3860 ext. 230
Email: mkeyse@d155.org

Best Time to Reach Me:
- anytime by email
- by phone: 7:30am - 3:15pm
If you do not reach me, please leave a message.
All email and phone messages are confidential.

Biography
Born: Bucyrus, OH.

Undergraduate Study:
Bachelor of Science in Nursing
Capitol University, Columbus, OH.

Graduate Study:
Certification in School Nursing - National Louis University
Master of Arts in Teaching - Webster University