This form is required for each medication to be taken at school (in addition to forms below, as appropriate)

NEBULIZER TREATMENTS WILL NOT BE ADMINISTERED IN THE SCHOOL SETTING WHILE COVID-19 RESTRICTIONS ARE IN PLACE.

Physician form regarding management of asthma symptoms.

NEBULIZER TREATMENTS WILL NOT BE ADMINISTERED IN THE SCHOOL SETTING WHILE COVID-19 RESTRICTIONS ARE IN PLACE.

Parent & Physician permission form for a student to self-carry an asthma inhaler at school.

Parent & Physician form for management of diabetes for a student with an insulin pump.

Parent & Physician form for management & treatment of diabetes of student with diabetes receiving multiple daily injections of insulin.

Includes Unlicensed Diabetes Care Assistant form and Parent/Student Responsibilities form.

Parent checklist of required documents and items for school management of known severe allergies.

Annual parent & physician form for management of a student's severe allergies. Includes section for permission to self-carry epinephrine.

Form for physician requested student specific dietary substitutions in the school cafeteria line. 

Parent & Physician form for management of a student with adrenal insufficiency.

Parent & Physician form for management of gastrostomy and nasogastric tubes/feedings in the school setting. 

Parent & Physician form for management and treatment of a student with seizures.

Parent & Physician form for management of a student requiring supplemental oxygen therapy in the school setting. 

Parent & Physician form for care and management of a student with a tracheostomy.

Parent & Physician form for specialized health care not specified on other forms.