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Asthma Action Plan
This form is required for those students who will be using an inhaler that will be held in our clinic or those that will self carry.
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Diabetic Emergency Form
This form is needed for students who have been diagnosed with diabetes.
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Food Allergy Action Plan
This form is required for those students who have food allergies and will have medication on hand for this in our clinic.
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Insect Allergy Form
This form needs to be completed for those students who have an insect allergy and require medication to be on hand in our clinic.
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Over-the-Counter Medication Form
This is required for those students who need to be administered over-the-counter medication while at school. This form is not for prescription medication. The over-the-counter medication must be brought to the Primary Office by a parent or guardian (do not send in with your child) and must be in an unopened/sealed container.
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Prescription Medication Form
This form is required for those students who will be taking prescription medication while in school. The medication must be brought in to the Primary Office by a parent or guardian (do not send in with your child) and must be in the original prescription container.
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Seizure Action Plan
This form is required for those students with seizures and need medication to be held on hand in our clinic.
