• Please refer to the following forms if your child requires medication be kept/given at school. These forms should be completed by the parent/guardian as wll as the private MD. All Medication Request forms will be cosigned by the district's medical doctor as well. 


    These forms should be filled out by you AND your child's medical doctor if they require medication to be kept and given at school. Each medication requires a seperate form. this may include daily medications or emergency medications such as epinephrine, albuterol est.

    Medication Administration Form


    This form schould be filled our it your child will be administering their own medication; i.e. insulin, or keeping it on them at school i.e. albuterol.

    Self Medication Administration Form


    This form must be filled out by your child's medical doctor if your child has food allergies.

    Food Allergy Action Plan


    This form must be filled out by your child's medical doctor if your child has asthma.

    Asthma Treatment Action Plan


    This form must be completed/signed by students' parent/guadian and private medical doctor for diabetes management at school.

    Diabetes Medical Management Plan