Basic Forms
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Tylenol/Ibuprofen Permission Form
This form is to give permission for your child to be given Acetaminophen (Tylenol) for the usual reasons: headache, cold, muscle aches, menstrual cramps, etc by the school nurse.
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Overnight Medication Form
The Overnight Medication Form is to be completed by both the parent/guardian, the student, and by the physician.
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Food Allergy and Anaphylaxis Emergency Care Plan
The Food Allergy and Anaphylaxis Emergency Care Plan is to be completed by both the parent/guardian and the student.
Note: This form must be notarized.
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In-School Medication Form
The In-School Medication Form is to be completed by both the parent/guardian, the student, and by the physician.
Severe Allergy/Non-Asthma Related Self-Administered Medication Forms
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Self-Medicate Non-Asthma Parent Permission Form
The Self-Medicate Non-Asthma Parent Permission Form is to be completed by both the parent/guardian and the student.
Note: This form must be notarized.
Asthma Related Self-Administered Medication Forms
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Asthma Action Plan and Asthma Self Administration Form
The Asthma Action Plan and Asthma Self Administration Form is to be completed by both the parent/guardian, the student, and signed by the physician.