For students with the following conditions, please print the corresponding care plan form below and fill in the requested information for the school nurse. This information you provide is important for the safety of your student while in the care of school personnel.
Certain actions to be done at school require a doctor's signature and will be noted on the individual form. This includes certain nurse and other trained staff interventions and permissions for student self-medication.
ALLERGIC REACTION/ANAPHYLAXIS
Allergic Reaction Care Plan-(food, bee sting, etc.)
Allergic Reaction Bus Driver Form
Food Allergy Prescription-* form required by food services department
ASTHMA
Asthma Care Plan
CARDIOVASCULAR
Emergency Care Plan
DIABETES
Diabetes Parent Letter
Diabetes Medical Management Plan
Glucagon Administration Form
Diabetes Supply List
Diabetes Bus Driver Form
Consent For Release of Information
SEIZURE
Seizure Care Plan
Seizure Emergency Medication Consent
OTHER CONDITIONS
General Care Plan