Embedded Files
FARE Food Allergy Form -
FARE Food Allergy Form -
Must be signed by both parent and physician
Must be signed by both parent and physician
FARE Food Allergy Emergency Care Plan.pdfPrescription Medication Form -
Prescription Medication Form -
Please complete for the prescription epinephrine to be kept in the nurse's office
Please complete for the prescription epinephrine to be kept in the nurse's office
Prescription Medication Perm. Form .pdfPermission for student to SELF-CARRY
Permission for student to SELF-CARRY
Epinephrine-
Epinephrine-
only complete if your child has a prescription epinephrine device and will not seek assistance from school personnel to administer. By Iowa law, this form must be on file if your child will self-carry the epinephrine and administer independently. Otherwise, please have your child keep the medication in the Nurse's Office.
only complete if your child has a prescription epinephrine device and will not seek assistance from school personnel to administer. By Iowa law, this form must be on file if your child will self-carry the epinephrine and administer independently. Otherwise, please have your child keep the medication in the Nurse's Office.
Permission Form for Self-Administration of Epi Pen or Inahler.pdfReport abuse