Asthma, Allergy, Students with Health Needs, and Medications Resources and Forms

Needed forms and school supplies for health concerns:

 

  • Severe Allergies:

EPI Pen and/or Benadryl and Medication Consent Forms

Allergy Action Plan from Physician

Dietary Accommodation form if food related

Individualized Health Plan    

  • Asthma:

Inhaler and Medication Consent Form

Asthma Action Plan from Physician

Individualized Health Plan

  • Chronic Conditions

Action Plan from Physician

Individualized Health Plan

Classroom Healthcare Plan

  • Diabetes

Medication Consent Form for Insulin

Medication Consent Form for Glucagon

Physician's Individualized Plan of Care for current school year

Emergency Supplies at school: 

Ketone Test Strips

Insulin

Tester

Pump Supplies

Glucagon

Snacks/Fixes