Health Care Plans
Health care plan forms must be submitted every twelve months. Please print and return to the front office or to your school Health Aide. All health care plans require a parent and healthcare provider signature.
Each health concern below will be followed by links to any pertinent forms.
The schools cannot accept any medication unless it is delivered by the student's guardian with the appropriate paperwork. No medication may be administered without a physician signature. Your school health aide could assist you in facilitating this. Each medication must have a pharmacy label. If it is an over the counter medication, any local pharmacy should provide you with a label for school.
Every student with a medical concern must have a bus form submitted regardless of their daily methods of transportation to school. These forms are necessary for the student to attend field trips.
Allergy Health Care Plan Forms
Please submit “Allergy & Anaphylaxis Emergency Action Plan.” If your student requires lunchroom accommodations submit the “Medical Statement to Request Special Meals, Accommodations, and Milk Substitutions.” If your student has asthma submit the “Asthma Action Plan.” These forms must be completed annually with parent and healthcare provider signature.
Asthma Health Care Plan Forms
Please submit the state required Asthma Action Plan Medical Authorization & Self-Administration Form annually.
Diabetes Health Care Plan Forms
Generic Health Care Plan
G-Tube Feeding Order and Forms
Medical Release Form
Medication Administration Authorization Forms
Seizure Health Care Plan Forms
This website is currently being updated. If you are unable to find the forms that you need, please contact your school health aide.