Medication Forms - click on link below to view and print the appropriate form. Please take the form to your doctor for completion and sign where indicated for parent/guardian. Please return forms to the school with the ordered medication in the original container.
General Medication Authorization Form
General Medication Authorization Form
med_01_medication_authorization_8-14.doc | |
File Size: | 51 kb |
File Type: | doc |
Asthma Forms
ci_07_asthma_action_plan_03-09.pdf | |
File Size: | 158 kb |
File Type: |
Severe Allergy - Epi Pen Form
ci_23_severe_allergy_md_order_5-13.doc | |
File Size: | 108 kb |
File Type: | doc |
Seizure Medication/Management Forms
Diastat form
Diastat form
ci_21_diastat_md_order_7-09_doc_aspx.mht | |
File Size: | 1534 kb |
File Type: | mht |
Vagal Nerve Stimulator Form
ci_22_vagal_nerve_stimulator_md_order_4-11.doc | |
File Size: | 143 kb |
File Type: | doc |
Diabetes Forms - all of these forms need to be filled out and reviewed
ci_13b_diabetes_checklist_7-09.doc | |
File Size: | 93 kb |
File Type: | doc |
ci_13_diabetes_order_and_care_plan.doc | |
File Size: | 99 kb |
File Type: | doc |
ci_16_glucometer_testing_letter_7-09.doc | |
File Size: | 89 kb |
File Type: | doc |