Health Forms

A completed form must be provided with a parent and physician signature when prescription medication is administered at school. Over-the-counter medication requires only a parent signature. Complete a Food Allergy Action Plan or an Asthma Action Plan if your child has been diagnosed with asthma or a food allergy. A completed plan will ensure your child is cared for safely at school in the event of an emergency. Complete the Asthma Inhaler or Epinephrine (EpiPen) Autoinjector Authorization if your child will be possessing and using their own medication at school.

Please print and complete the forms you need.  If you have any questions, contact school nurse Kathy Johnson.

Administration of Medication by School Personnel
Food Allergy Action Plan-Page 1
Food Allergy Action Plan–Page 2
Asthma Action Plan–Page 1
Asthma Action Plan–Page 2
Asthma Inhaler Authorization
Epinephrine (EpiPen) Autoinjector Authorization