Parent Checklist & Forms
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 and 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 - Memo to Parents Feb. 2010 - English / Spanish (35 KB)
Medication Request Form 10-11 - English / Spanish (12 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)
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