If a student has a health concern and requires medication during the school day, a Medication Administration Request form must be completed by the prescribing physician. Students requiring procedures/treatments during the school day will be required to submit the Physician/Parent Request for Administration of Procedures/Treatment form. These forms must be completed annually and whenever there is a change of medication, dose, procedure, and/or treatment. The school nurse will contact the physician as necessary for information regarding student health concerns, medication, and procedures/treatments. Health concerns and related information will then be shared on an as needed basis with appropriate school staff to provide appropriate care for your student.
FORMS
Asthma Action Plan ![]()
Medication Administration Request ![]()
Physician/Parent Request for Administration of Special Procedures ![]()
Medication Addendum to Travel Consent/Health Form ![]()
Please contact your student's school nurse for any information or assistance concerning your child's health or development.
Last modified Jan 24, 2008