Forms&Documents
If your child has recently been out with an illness it is appreciated by the nurse's office a phone call from home with an update on the child.
Action Plans for School Use
If your child requires an epi pen a new order and a non-expired epi pen are required for each school year. Please check the date on your epi-pen prior to bringing it to the school.
Food Allergy Action Plan.pdfFood Allergy Action Plan
Epi pen allergy plan.pdfAllergy Action Plan
If your child requires and inhaler at school, this form must be completed and the inhaler provided for the school. Students may carry their own inhalers if ok with physician and parent and is discussed with the nurse prior to student carrying them.
Asthma Action Plan_2016_08_26.pdfAsthma Action Plan
Annual Health Office Permission 2019-20.docxThis form is REQUIRED for any student in the middle school. This form allows your child to receive any over the counter medications we stock and also provides contact information and consent. This is required to be filled out every school year.
If your child is receiving a prescription medications during school please have your child's physician fill this form out or fax an order. The medication will need to be brought in by the parent and controlled medications are counted upon drop off.
forms - prescription med.pdfIf your child requires an over the counter medication to be administered at school, please fill this form out and bring it with you when you drop off your child's medications.
forms - non prescription med.pdfMedical Records Release.docThis form is to be used for communication with physicians or other offices.