Medication and Treatment Forms

These forms are for medications and treatments to be administered or completed at school, during the school day:

• Parent Fact Sheet for Medication at School

• Inhaler or Nebulizer Medication Order Form

• Prescription and Non-Prescription Medication Order Form

• Emergency Medication Form-Epinephrine Order (epipens, generic emergency epinephrine, aviq)

• Emergency Medication Form - DIASTAT - For Seizures

• Diabetic Management Form

• Prescriber’s Orders for Specialized School Health Services -(Gastrostomy Tube Feeding-Button Tube Feeding)

• Prescriber's Orders for Specialized School Health Services- (Catheterization)

• Prescriber's Orders for Specialized School Health Service

This form should be completed by your child's medical provider when your child is seen for a well visit. Any notation of health needs or concerns can be helpful ensure a safe and healthy school environment for your child

• Health Inventory Form