At the start of the school year, please list any medical concerns on the Emergency Card that is to be returned to school.
If listing Diabetes, Seizures, Food Allergy, Bee Allergy, Asthma, or Celiac Disease, please download the appropriate form under "Action Plans" on this Website.
If an additional Medical Action Plan is needed for your students, please contact the health care staff in your school clinic.
Individual Health Care Plans may also be developed for other medical conditions if needed by the RN in your district.
Please let the office know if you need a Health Care Plan for your student or if a meeting is required to review the student's health condition from a previous school year.
This information is needed from you so that we can follow the steps necessary if a medical emergency arises regarding that condition.
Please indicate if an inhaler is self-carried by the student and where it will be located during the school day.
If your student is a diabetic, please let us know if he/she is on insulin at school or will have Glucagon.
Medication forms for prescription/nonprescription medicine may be obtained from the school office. There are medication forms for several districts available on the right.
Your doctor/physician may fax any medical/medication forms to the school directly. This information will be used to provide health information to staff members who have direct contact with your student to maintain his/her health and safety during this school year.
Please see the link below, and return the bottom portion to the health clinic staff if needed.