District Health Expectations and Forms

 

 

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Health Forms
and the Grade Level which they are needed

 


 

Medication that is Needed at School
Documentation from the Doctor is Required 

Administer Medication Form  

 

Inhaler needed at School 
Asthma Action Plan Form (Both Pages) 

 

Epi Pen Plan /  Allergies 
Allergy Emergency Action Plan and Treatment Authorization Form (Both Pages)

Food Substitution Form (Required)
Physician Statement for Food Substitution


 

Any Questions
Please Do Not Hesitate to Call Your Student's School Nurse!