-
Medication Request Form
This form is required for each medication to be taken at school.
-
Severe Allergy Management Plan
Parent & Physician form for management of a student's severe allergies. Includes section for permission to self-carry epinephrine.
-
Asthma Inhaler Self-Carry Form
Parent & Physician permission form for a student to self-carry an asthma inhaler at school.
-
Seizure Management Plan
Parent & Physician form for management and treatment of a student with seizures.
-
Gastrostomy & Tube Feeding Management Plan
Parent & Physician form for management of gastrostomy and nasogastric tubes/feedings in the school setting.
-
Tracheostomy Management Plan
Parent & Physician form for care and management of a student with a tracheostomy.
-
Supplemental Oxygen
Parent & Physician form for management of a student requiring supplemental oxygen therapy in the school setting.
-
Adrenal Insufficiency Treatment Plan
Parent & Physician form for management of a student with adrenal insufficiency.
-
Specialized Health Care Request
Parent & Physician form for specialized health care not specified on other forms.
-
Diabetes Management & Treatment Plan (Multiple Daily Injections)
Parent & Physician form for management & treatment of diabetes of student with diabetes receiving multiple daily injections of insulin.
-
Diabetes Management & Treatment Plan (Insulin Pump)
Parent & Physician form for management of diabetes for a student with an insulin pump.
-
Additional Required Diabetes Forms
Includes Unlicensed Diabetes Care Assistant form and Parent/Student Responsibilities form.
