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CAMPUS

PARENT USE FORMS

Medication Forms for Parents and Physician Signature:

      Parent Request for School To Administer Medication

      Doctor Authorization to self administer Asthma or Anaphylaxis Medication

      Enteral Feeding/Treatment Authorization-Gastrostomy

Health Information Packets for parents (Print 2 sided, includes instruction page)

      Asthma

      Anaphylaxis

      Diabetes

      Seizure

Emergency Action Plans- must be completed and signed by physician and parent

      Seizure Action Plan

      Allergy and Anaphylaxis Plan from FoodAllergy.org      Spanish version

      Asthma Action Plan

Health Data Collection FORMS- (To be completed by parent)

      Diabetes

      Seizure Disorder

      Allergy and Anaphylaxis

      Gastrostomy

Other:

      Assistive/Safety Device Authorization form