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Medical Forms


(Read Only)
  • ​Authorization for Medication Administration - English
  • Authorization to Carry Approved Prescription Inhaler or Medication - English
  • Agreement to Carry & Self-Administration Prescription Auto-Injectable Epinephrine at School (Epi-Pen/Twinjet) - English
  • Authorization for Use or Disclosure of Health Information to and From Schools - English
  • Epi-Pen Parent Survey - English
  • Cafeteria Request Form - English
  • Allergy Action Plan - English
  • Parent Request for Having Specialized Physical Care Service Provided - English
  • Parent Wavier of School Responsibility - English
  • Physicians Order for G-Tube Feeding Procedure - English
  • ​Directory of Forms for Medication/Special Procedures - English
  • Parent Notice Regarding Medication at School - English


(Solo Lectura)
  • ​Autorización Para La Administración De Medicamentos - español
  • Autorización para realizar Aprobado inhalador Prescripción o medicación - español
  • Acuerdo para Llevar y Prescripción Auto-Administración Auto-inyectable epinefrina en la Escuela (Epi-Pen/Twinject) - español
  • Autorización para el Uso o Divulgación de Información de Salud hacia y desde las escuelas - español
  • Encuesta para Padres Epi-Pen - español
  • Cafetería Formulario de Solicitud - español
  • Plan de acción para la alergia - español
  • Solicitud de Padres para Tener Servicio Especializado de Atención Física Siempre - español
  • Exención de Responsabilidad de los Padres - español
  • Médicos Orden de Procedimiento Alimentación G -Tube -  español
  • ​Directorio de formularios para Medicación/Procedimientos Especiales - English
  • Aviso de los padres acerca de Medicamentos en la Escuela - español

Immunization Updates and SB 277