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Health Services- Medical Conditions & Health Forms

Medical Conditions & Health Forms

 

Allergies

The school requests to be notified when a student has been diagnosed with a food allergy, especially those allergies that could result in dangerous or possibly life-threatening reactions either by inhalation, ingestion, or skin contact with the particular food. It is important to disclose the food to which the student is allergic, as well as the nature of the allergic reaction. Please contact the school health office if your child has a known food allergy or as soon as possible after any diagnosis of a food allergy. The school has developed and annually reviews a food allergy management plan, which addresses employee training, dealing with common food allergens, and specific strategies for dealing with students diagnosed with severe food allergies. When the school receives information that a student has a food allergy that puts the student at risk for anaphylaxis, individual care plans will be developed to assist the student in safely accessing the school environment.

Special Diet Request Form – English

Formulario Para Solicitar Una Dieta Especial

Food Allergy & Anaphylaxis Emergency Care Plan  (English)

Plan De Atención De Emergencias De Alergias Alimentarias Y Anafilaxia

Anaphylaxis Emergency Action Plan

Self-Administration of Asthma or Anaphylaxis Medication

 


 

Asthma

Asthma and anaphylaxis are life-threatening conditions, and students with those conditions are entitled to possess and self-administer prescription medication while on school property or at school-related events. Student possession and self-administration of asthma or anaphylaxis medication at school requires the student to demonstrate his or her ability to self-administer the medication to the student’s physician or other licensed health care provider and the school nurse, if available. Requirements also include written authorization from the student’s parent and physician or other licensed health care provider on file in the school office indicating the student is capable of independently administering his or her own asthma or emergency anaphylaxis medication. Medication in a student’s possession must be in an original container with a prescription label. Please note that most pharmacies will place a label on the inhaler device upon request. If the student has been prescribed asthma or anaphylaxis medication for use during the school day, the student and parents should discuss this with your school’s health office staff.

Asthma Action Plan for School Form

Self-Administration of Asthma or Anaphylaxis Medication

 


 

Diabetes

In accordance with a student’s individual health plan for the management of diabetes, a student with diabetes will be permitted to possess and use monitoring and treatment supplies and equipment while at school or at a school-related activity. Contact your school’s health office for information.

Parental Authorization for UDCA form

 


 

Seizures

Seizure Treatment Plan Form


 

Medication Administration

 

Medication Policy

Request for Administration of Medication Form