Forms

An annual student health history form must be completed every school year.  Completing a student health history form each year gives the nurse updated health information about your student and allows him or her to take the indicated over-the-counter medications at school.  Please contact the school nurse if you would like to discuss your student's health concerns and its impact on your student while at school.

Asthma Parent Contact 

Asthma Parent Contact-Spanish

If your student carries their own inhaler or epinephrine auto-injector, these two forms must be filled out and on file with the school nurse to provide the best care to your student,  Medication Authorization and Authorization to Self Carry and Administer medications,. 

Food Allergy Action Plan

Food Allergy Action Plan-Spanish

Action Plan for Bee Stings

Allergy and Anaphylaxis Emergency Plan

Authorization for Independent Diabetes Management

Consent for Diabetes Management

Emergency Action Plan- Hypoglycemia

Emergency Action Plan-Hyperglycemia

Waiver to Hold Harmless, Independent Diabetes Management

Parent Contact for Headaches

Authorization to Self Carry Medication

Authorization for Medication Administration

Authorization for Medication Aministration-Spanish