Admin

Care Plans

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