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Medication Forms and Action Plans

Medication Forms and Action Plans for Asthma, Seizures, Food Allergies

If your student requires medication during the school day, please have your doctor complete the appropriate forms that can all be located here.  Please remember, students are not permitted to administer their own medication in school, all medication must be accompanied by a doctor's order and must be in the original prescription packaging.  Thank you for your cooperation.

Medication Administration Form

 Medication administration form

Asthma Action Plan Packet

Asthma Action Plan

Medication Administration form

Allergy Action Plan Packet

Emergency Epinephrine Action Plan 

Medication Administration form

Request for Emergency Epinephrine administration

Food Vendor Meal Plan

Seizure Action Plan Packet

Seizure Action Plan

Medication Administration form

 

Diabetes Action Plan Packet

Diabetes Action Plan

Medication Form