Printable Forms

Forms

INSTRUCTIONS: If your child has asthma and uses an inhaler or nebulizer then print the Asthma Medication Form. If your child has a life threatening allergy then print the Epi Pen Administration Form. If your child has a chronic life threatening medical condition and is capable of self administration of their medications (insulin, digestive enzymes, benadryl for anaphylaxis, etc.) then print Self Administration Form. For any other medications that may need to be given during school hours then use the Medication Adminstration Form. 

**All of these forms require signatures by the Health Care Provider as well as the parent/guardian.** If you have any questions, please call your child's school nurse. Thank you.

Asthma Treatment Plan
Athletic Physical Form
Food Allergy Emergency Plan
Medical Admin. Form
Medical History and Physical Examination Form
New Epipen Care Plan 2015
Self Administration of Medications
Seizure Action Plan

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