Learning Today, Leading Tomorrow
Health Service Forms
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Medication Administration Information Form
- Parent/Guardian required to read, initial, and sign form
- Only one form needed for all medication
- Form 1 of 2
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Permission to Administer Medications at School
- Parent/ Guardian required to read, fill out, and sign form
- One form needed for each medication
- Form 2 of 2
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Special Dietary Needs Form
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Allergy and Anaphylaxis Care Plan - American Academy of Pediatrics
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CSD Asthma and Respiratory Care Plan
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CSD Environmental Allergies Care Plan
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CSD Lactose Intolerant Care Plan
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CSD Migraine Care Plan
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Diabetes Care Plan - American Diabetes Association
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Seizure Action Plan - Epilespy Foundation
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