Allergies

Parents/Guardians should provide the following at the start of each school year:

Please Note:

Some of the forms below require completion and signature of your healthcare provider as well as the parent/guardian signature.

Documents

NON-LIFE Threatening

(non-anaphylactic) allergy

(if any medications will be needed at school or need to be kept here for possible allergic reactions)

(if applicable and only needs to be completed once)

  • 4. Any needed or emergency medications in the original bottle, unexpired, and labeled with the student’s first and last name (see medication policy)

LIFE Threatening

anaphylactic allergy

(to be completed and signed by healthcare provider)

(if applicable and only needs to be completed once)

  • 4. Any needed or emergency medications in the original bottle, unexpired, and labeled with the student’s first and last name (see medication policy)

Self Carry

In the case of anaphylactic allergies, the parent, student, school, and healthcare provider will determine if the student will self-carry and/or self-administer their emergency medications. If a student is not able to self-carry and/or self-administer emergency medications, such medications will be readily accessible to the student and appropriate staff trained in administration.

If it is determined that a student will self-carry and/or self-administer in addition to the above forms the health office will also need:

Health Services Question?

Please Contact:

Candace Westlund

Licensed School Nurse

Candace Westlund

Licensed School Nurse