Forms

Medication Permission Forms

Important: Parental permission expires after 2 weeks.

Physician authorization is required for medications that will remain in the clinic longer than 2 weeks.

Medication Permission Form

Authorization for Self-Carry/Administration of Medicine at School

EISD Medication Policy

Emergency Care Plans (to be completed by the physician):

Allergy and Anaphylaxis Emergency Care Plan

Asthma Action Plan

Diabetic Care Plan

Seizure Action Plan

Individualized Health Plans (to be completed by parent & school nurse):

Allergy & Anaphylaxis Individualized Health Plan (IHP)

Asthma Individualized Health Plan (IHP)

Diabetes Individualized Health Plan (IHP)

Health Screening Exemption

Health Screening Exemption