BACK TO SCHOOL MEDICAL FAMILY CHECKLIST
MEDICAL FORM FOR MEDICATION ADMINISTRATION AT SCHOOL
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Parent Request for Medication Administration
This form is mandatory if your student requires prescription, over the counter and/or herbal remedies medication during school hours.
ACTION PLANS
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Asthma Action Plan
This form can be reviewed with your student's physician and added to his/her medical records as a more detailed plan of care.
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Allergy Action Plan
This form can be reviewed with your student's physician and added to his/her medical records as a more detailed plan of care.
TB INFORMATION
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Tuberculosis Risk Assessment
This form is to be completed by the school nurse every 4 years for employees and parent volunteers.
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Freedom From Symptoms of Tuberculosis Statement
This form is mandatory if you have had a positive TB result and have been cleared but are now symptomatic.