Medical/Health Plan Information
DeKeyser Elementary 2026 - 2027
Dear DeKeyser Families,
Utica Community Schools are committed to providing a healthy and safe environment for each of our students. A health plan is required to be completed at the beginning of every school year for children with health conditions, severe allergies, and/or a child requiring medication during the school day. For your child's safety we ask that all health forms are turned in PRIOR to the first day of school on Monday, August 31st.
When is a Health Plan Needed?
Any condition that may involve special dietary considerations, activity accommodations, medications, or treatment of urgent problems. A signature from a licensed provider is required on all health plans.
Administration of Medication at School
Any medications that are to be distributed by school staff or used by your student at school must have an Authorization for Medication completed and signed by a licensed provider, including any over-the-counter medications, and be brought in by an adult. A separate Authorization for Medication form must be completed for each medication (only one medication per sheet).
Health Care Plans and Authorization for Medication forms are available at https://www.uticak12.org/domain/3272 Two transportation forms are required for every student that rides the bus with a COLOR picture attached to each form. Depending on your child’s diagnosis, the following forms are required by the school:
Please return all the necessary, completed and signed forms (dated after July 1, 2026) prior to August 31,2026 to: officedekeyser@uticak12.org
Food Allergies/Insect Allergies/Latex Allergies
- FARE Food Allergy and Anaphylaxis Emergency Care Plan
- UCS Special Diet Statement form
- 2 Authorization for Medications (one for an antihistamine and one for Epinephrine)
- 2 Transportation Forms (if your child is a bus rider)
UCS Special Diet Statement
Required for Food Services for students with Food Allergies or other health conditions requiring specific meal accommodations.
Asthma
- Asthma Health Care Plan
- Authorization for Medication for a rescue inhaler
- 2 Transportation Forms (if your child is a bus rider)
Seizure
- Seizure Health Care Plan
- Authorization for Medication for rescue medications and/or other medications
- 2 Transportation Forms (if your child is a bus rider)
Diabetes
- Diabetes Health Care Plan
- 2 Transportation Forms (if your child is a bus rider)
- Must submit your Diabetes Medical Management Plan from your Endocrinologist
Heart Condition
- Heart Condition Health Care Plan
- 2 Transportation Forms (if your child is a bus rider)
Any Other Diagnosis
- General Health Care Plan
- Authorization for Medication (if needed)
- 2 Transportation Forms (if your child is a bus rider)
Health Care Plan No Longer Needed
Please have your licensed provider complete the below attachment and sign. The form should be returned to the school.
District Nurses
Chrissy Groszkiewicz, RN
christine.groszkiewicz@uticak12.org
586-405-7493
Cluster 1
Beacon Tree, Beck, Crissman, Duncan, Messmore, Morgan, Roberts, Switzer Elementary
Malow Jr. High, Shelby Jr. High
Eisenhower High School
Megan Holmes, RN
586-980-0731
Cluster 2
Gibbings Preschool
Flickinger, Monfort, West Utica, and Wiley Elementary
Eppler Jr. High
Utica High School, IRC, Alternative Learning Center
Walsh Community Education (Day care/preschool and Adult Ed)
Alexandra Sorrentino, RN
alexandra.sorrentino@uticak12.org
586-703-0647
Cluster 3
Browning, Dresden, Ebeling, Graebner, Harvey, Havel Elementary
Bemis Jr. High
Henry Ford II High School
Emily Duzey, RN
586-980-0743
Cluster 4
Burr, Collins, Dekeyser, Oakbrook, Plumbrook (except for POHI/special education students), Schuchard, Schwarzkoff Elementary
Davis Jr. High, Jeannette Jr. High
Stevenson High School, UAIS, UCNECT
Tiffanie Polizzi, RN
586-719-2793
Plumbrook POHI and special education students
DeKeyser Elementary
Welcome to DeKeyser ~ Home of the DeKeyser Dolphins
Principal: Mrs. Shannon Hathcock
Administrative Assistant: Mrs. Lisa Russo
Clerk: Mrs. Heather Mansour
Office Hours: 8:30 a.m. - 4:30 p.m.
School Hours: 9:05 AM - 3:55PM (full days) and 9:05 AM -12:09 PM (half days)
Breakfast Hours: 8:45 - 9:05
Address:
39600 Atkinson
Sterling Heights, MI 48313
Office Phone Number: (586)797-4400
24 Hr Attendance Line (586)797-4499
Fax (586)797-4401
Email: officedekeyser@uticak12.org