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School Nurse Period Visit Card

A plain school nurse period visit card with short symptoms, supply needs, leak notes, cramps impact, questions, scripts, and privacy prompts.

A nurse visit can feel rushed.

This card helps you say the short version.

Use it for supplies, cramps, leaks, or a call home.

It is not medical advice.

It is not a diagnosis.

It is not school policy advice.

Fast visit card

Copy this into a note or print it.

text School nurse period visit card

Name: Date: Class I came from:

I need help with: supplies cramps leak spare clothes call home other:

Pain score, 0 to 10: Bleeding concern: Symptoms: What I want kept private: Main question:

Use only the parts you need.

Supply ask

Check what fits.

Need Yes Note Pad Tampon Period underwear or backup layer Spare underwear Spare pants, shorts, or leggings Plain bag for stained clothes Bathroom Call home

Use the period kit for school checklist to restock later.

Plain words

Pick a line before you go in.

Need Words to try Supplies "I need period supplies." More privacy "Can I say this quietly?" Bathroom "I need the bathroom." Leak "I had a leak and need help." Pain "My cramps are making class hard." Call home "Can I call home?" Short note "Can you help me write what happened?"

CDC says schools can build time for handwashing into the day, especially after bathroom breaks.

Wash your hands when you can.

Symptom note

MedlinePlus lists period symptoms like cramps, lower back pain, bloating, headaches, fatigue, and mood changes.

Check what is happening today.

Symptom Today Note Cramps Lower back pain Bloating Headache Tired Mood change Nausea or loose stool Dizziness

This card cannot tell what caused a symptom.

It helps you share what you feel.

Cramps impact

Mayo Clinic says cramps can affect daily life.

Mayo Clinic also says to see a health care provider if cramps disrupt life every month, get worse, or severe cramps start after age 25.

Question Your answer Pain score, 0 to 10 Did pain start before flow? yes / no / not sure Did pain change class? yes / no Did pain change walking? yes / no Did pain change eating or sleep? yes / no Has this happened before? yes / no / not sure Main care question

This table does not tell you what medicine to use.

Ask a clinician, nurse, caregiver, or pharmacist about care questions.

Use the teen period cramp school plan for more school notes.

Leak and clothes note

Use this if clothes or a seat were affected.

Question Your note What needs changing? Do I need spare clothes? yes / no Do I need a bag for stained clothes? yes / no Do I need to call home? yes / no Where is my backup kit? What class needs a short note?

For a fuller plan, use the period leak at school plan.

After visit note

Write only what helps.

text Nurse visit summary

Date: Reason: Supplies used: Pain score: Leak or clothes issue: Class missed: Call home: yes / no What I need to pack next time: Question for caregiver or clinician:

Use the work and school impact log if nurse visits, pain, or leaks keep affecting class.

Use the teen period symptoms doctor visit sheet before a care visit.

Privacy check

Nurse visit notes can include school names, class times, symptoms, products, and phone calls.

Keep notes small.

Check Done I used plain words if I wanted I did not put private details in group chat I checked shared phone or school device use I kept only what helps I know who may see the school note

Floriva can keep a short local note.

Paper can work too.

Screenshots, backups, school devices, shared phones, and messages can be seen outside an app.

Read the school phone period tracking privacy checklist before saving school health notes.