***These forms will allow the nurses to provide care for your student while at school. Please be aware that due to must be signed by both the Physician and parent before medication can be accepted by the Nurse.***
Daily Medication, Prescription, and Non- prescription:
**Please read Medication Procedures section of the permission form prior to completing **
**Any change in dosage of non-prescription medication other than recommended on the package label, must have M.D. signature**
Click here to access the required form : Request to Administer Medication
Inhalers:
Students who will keep inhaler in Nurse's clinic:
**This form must be completed by MD and signed by parent** (Dr. omits permission for student to self-carry inhaler)
Click here to access the required form : Asthma Action Plan (English) / Asthma Action Plan (Spanish)
Students who will self-carry inhaler:
**This form must be completed by M.D. and signed by parent** (Dr. gives medical permission for student to self-carry by checking the box towards the bottom of the page that states student may self-carry)
This is very helpful for those students participating in athletics.
Click here to access the required form : Asthma Action Plan
Click here to access the Self Carry Med Form
Epi-pens:
**This form must be completed by M.D. and signed by parent**
Click here to access the required form : Food Allergy and Anaphylaxis Emergency Care Plan ( FARE)