Needs to be filled out and signed by Medical Provider when a student has food allergies (must be completed each school year - regardless of if allergies/dietary restrictions are the same as previous school year)
Form is sent to campus Cafeteria Manager and FWISD Dietician - allows for a "flag" to be entered on student's account
If a student goes through the lunch line and tries to buy an item that contains ingredients in which the student cannot have the employee would get a notification and help the student choose a different option
Examples for when to use this form:
EpiPens / Auvi-Q's
Catheterization
G-tube feedings
Tracheostomy care
Rescue meds that are none oral or require specific instructions. (Diastat, Basqimi, Glucagon, and so on.)
**Nebulizer treatments are currently NOT permitted on any FWISD campus - if a student needs a Nebulizer treatment during the school day a parent/guardian must administer treatment off site.**
Medications that you want kept in the Nurse's office and administered at a specific time or as needed.
The form must be signed by both you and the child's medical provider and renewed annually.
Examples: ADHD medication, over-the-counter medication (including cough drops), rescue inhaler, etc.
**Please be sure the provider gives a REASON for meds that are taken "as needed" (i.e. Albuterol Inhaler - 2 puffs every 4 hours AS NEEDED FOR wheezing, cough, or shortness of breath)
Form is used when a student is able to carry their own inhaler and/or anaphylaxis medication while at school
Student's Medical Provider must sign this form noting that the student possess the skill(s) and competency level to independently administer medication