Guidance Regarding School Health Forms For School Year 2025-2026

The guidance explains the four medication-related forms used in SY 2025–2026 and when each is required.

• Request for Diabetes Care and Medication Administration Request for Diabetes Care and Medication Administration, SH36 DM is for students with diabetes, covering insulin, glucagon, blood glucose monitoring, and optional self-management; it must be reviewed and approved by a DOE consulting nurse.
  
  

• Request to Store and Administer Medications- for all non-diabetes medications, including asthma, allergy, and seizure-related emergency meds, and also requires consulting nurse approval.  
  
  

• Volunteer Authorization to Administer Epinephrine and Glucagon form allows trained DOE employees or agents to administer epinephrine or glucagon in emergencies when paired with a completed SH36 or SH36 DM. 

• Student Medication Self-Administration and Carry Authorization allows students to carry and self-administer inhalers, epinephrine, or glucagon (if not already authorized on SH36 DM), and may prompt a consulting nurse to develop an Emergency Action Plan