Health Office Forms
All forms must be renewed every school year. Please make sure that all forms are signed by the physician and yourself prior to bringing them into school.
Asthma & Inhaler Use
- Your child’s physician must complete and sign the Asthma Treatment Plan.
- Parents/Guardian must sign the bottom of the Asthma Treatment Plan.
- Inhalers must be in the prescription labeled box and hand delivered to the school nurse by the parent or guardian.
EpiPen Use
- Your child’s physician must complete and sign the Anaphylaxis Emergency Care Plan.
- The Parent/Guardian must sign the bottom of the Anaphylaxis Emergency Care Plan (remember to indicate on the bottom of the form if you wish for your child to sit at a peanut/nut free table at lunch).
- EpiPens must be in the prescription labeled box and hand delivered to the school nurse by the parent/guardian.
Medication Administration
- Your child’s physician must complete and sign the Medication Authorization Form.
- The parent/guardian must sign the bottom of the Medication Authorization Form.
- All medications (prescription or non-prescription) must be in its original container and properly identified and hand delivered to the school nurse by the parent/guardian.