Prevalent Medical Conditions

Required Medical Plans of Care

Dear Families,

This message is intended for the families of students with prevalent medical conditions where documentation is needed by the school:

To help us gather important medical information about your child, we ask that you select the correct Plan of Care form below, complete it and return it to the school as soon as possible. If you require us to administer daily medication, you will also need to complete the necessary paperwork for us to be able to do this.

Daily medication will need to be dropped off at the school. Students can not carry medications in their backpack, at any time. Please call the school to make arrangements for drop off.

**Be sure to also include the supplementary forms if medication may need to be administered by school staff.

Health and safety of our kids is our first priority. Thank you for helping us stay informed on your child's medical conditions and Plan of Care.

Epilepsy Plan of Care

DIABETES (Type 1 Plan of Care)

Asthma Plan of Care

Anaphylaxis Plan of Care

314-A1

AUTHORIZATION AND REQUEST FOR ADMINISTRATION OF PRESCRIBED MEDICATION/MEDICAL PROCEDURES

314 - A2

AUTHORIZATION AND REQUEST FORM FOR THE ADMINISTRATION OF PRESCRIBED MEDICATION

314-A4

REQUEST AND AUTHORIZATION FOR THE ADMINISTRATION OF RELIEVER/RESCUE INHALER

All Forms Available Here

Prevalent Medical Conditions

Required Medical Plans of Care

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Prevalent Medical Conditions

Required Medical Plans of Care

Supplemental Forms Click below for necessary supplementary forms needed including: Supplemental Forms Click below for necessary supplementary forms needed including:

Created with

Communicate quickly and effectively with interactive newsletters.

Supplemental Forms Click below for necessary supplementary forms needed including: