Parent Checklist & Forms

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School Year Checklist For Parents

At the beginning of the school year

Provide the school nurse with documentation of your child's up-to-date immunizations. The documentation must include the month, day, and year of the immunization.

During the school year

Please keep your child's Emergency Card information up-to-date (contact phone numbers, allergies, name of doctor, etc.).

At the end of the school year

If your child's medication is stored at the school clinic, you must pick it up before the last day of school. No unused medication will be sent home with a student. Any unused medication will be destroyed at the end of the school year.

Forms

Allergy Action Plan  (36 KB)

Asthma Action Plan (39 KB)

Diabetes Management Plan (41 KB)

Medication Request Form - English / Spanish (136 KB)

Physician Delegation - Diastat (21 KB)

Physician Delegation - Epi-Pen (25 KB)

Seizure Action Plan (61 KB)

Solu-Cortef Action Plan (68 KB)

Unlicensed Diabetes Care Assistant Consent (17 KB)