Medical Forms and Care Plans
Authorization to Release Confidential Information
My Student Needs Medicine At School
If your student needs medicine while at school, you will need to fill out one or more of the following Medical Forms:
- Authorization To Give Medication (in English)
- Authorization To Give Medication (in Spanish)
- Authorization to Carry Over The Counter Medication (in English)
- Authorization to Carry Over The Counter Medication (in Spanish)
- Authorization to Carry Prescription Medication (in English)
- Authorization to Carry Prescription Medication (in Spanish)
My Student Has...
Asthma:
Diabetes:
Seizures:
- Seizure Action Plan
- Seizure Action Plan in Spanish
- Reference Information - Seizure Action Plans | Epilepsy Foundation
- Doctor’s Orders For Emergency Seizure Medication (including, but not limited to Diazepam, Diastat, Midazolam, and Versed)
Allergies:
Chronic Illness:
Sickle Cell: