Serious illnesses and medical concerns that may affect your child at school.

Parents/guardians of students with life-threatening conditions must inform the school and work with the school nurse and the student’s health care provider to create a health care plan. Planning ahead helps schools to be equipped and prepared to care for students in emergency health situations.
Parents/guardians must:

• report the life-threatening condition on the health concerns form
• complete the authorization to administer medication form if student needs medication at school (must be signed by health care provider)
• complete the health care plan that is specific to the student’s illness, if applicable (with assistance of District Nurse)

All student health forms are available in the district or  school office. Required documentation must be completed before the child attends school.

Disease in which the body does not produce or properly process insulin.

Parents/guardians of students with diabetes must report the condition on the health concerns form. They must also complete these forms:

• diabetes health care plan
• diabetes health care provider medication order form (for insulin)

NEEDS CHECKLIST FOR DAILY DIABETES SUPPLIES

Disorder of the nervous system, characterized either by mild, episodic loss of attention (petit mal) or by severe convulsions with loss of consciousness (grand mal).

Parents/guardians of students with seizure disorders must report the condition on the health concerns form and agree to the school district’s standard seizure health care plan or complete a modified health care plan in cooperation with the student’s health care provider and school nurse.

Chronic respiratory disease, characterized by sudden recurring attacks of labored breathing, chest constriction and coughing.

Parents/guardians of students with severe asthma must report the condition on the health concerns form and complete an asthma health care plan in cooperation with the student’s health care provider and school nurse.

The authorization to administer medication form must be completed in order to allow students to have prescription or nonprescription medication at school. One form is required per medication. If a student carries rescue/emergency/diabetes medication while at school, an authorization to administer medication form must be filled out by the student’s health care provider and be on file at school.

If at any time the District Nurse feels more information from your student’s health care provider would help in their care, parents/guardians are encouraged to complete the authorization for release of records/information form which is valid for 90 days from your signature.

All student health forms are available in the district or school office.