Forms

OTC Medication Parent Permission

A parent written signature is required for any administration of Tylenol, Benadryl, etc. See form. 

Permission to self-administer Asthma/Anaphylaxis med

In order for a student to carry and self administer their inhaler or Epi-pen, this form must be signed by physician and parent.

Authorization for Diabetes Management

Form to be signed should your child's campus not have a school nurse available or assigned, then an unlicensed diabetes care assistant provides diabetes care.

Asthma Action Plan

Must be signed by parent and physician. For self carry of inhaler, also sign the self carry form.

Prescription Medication Authorization

Medications to be given on campus must have this form signed by parent and physician. 

Bacterial Meningitis

Seizures/epilepsy

Forms to be signed by doctor and parent and turned in to the school clinic along with any medication.