Carry and Self Administer English
This form is used for 6th-12th grader to obtain permission to carry and self administer medications excluding controlled substances (ritalin, adderall)

Carry and Self Administer Espanol
This form is for 6th-12th grade students to obtain permission to carry and self administer medications excluding controlled substances (ritalin, adderall)

Non Prescription English
This form allows school staff to administer non prescription medication to a student. Parent or guardian must provide the medication to the school for their child(ren).

Non Prescription Espanol
This form allows school staff to administer non prescription medication to a student. Parent or guardian must provide the medication to the school for their child(ren).

Prescription English
This form allows school staff to administer prescription medication to students

Prescription Espanol
This form allows school staff to administer prescription medication to students

Inhaler English
This form must be completed by the prescribing health care provider and parent guardian to give permission to a student with asthma to use an inhaler, and/or keep the inhaler in their possession.

Inhaler Espanol

Emergency Allergy Action Plan (Epi-pen form)
This form is used when a student needs to have an Epi-pen kept at school in case of a potentially life threatening allergic reaction

Diabetes Individualized Student Plan
This form may be used for the health care provider to complete specific information regarding the student's diabetes needs at school.

Diabetes questionnaire Spanish

Seizure Questionnaire for parents
Please use this form to provide specific information about your child's seizure disorder and related needs at school. If your child needs an anti-seizure medication at school, you will need to also need to have a prescription medication form completed by the health care provider.

Seizure questionnaire Spanish

Health Concerns Questionnaire English
To help us meet your child's health related needs, please complete any section that applies to your child. Sign and return this form to your child's school annually and as needed. Contact your school nurse.

Cuestionario De Preocupaciones De Salud