Student Medical Forms
This information is for students with a condition that requires prescription medications to be given at school or has medically-required food substitution needs.
- Prescription Medication Permission Form
- Self Administration Asthma/Allergy Medication Form
- Self Administration Plan For Medication Form
- Allergy Action Plan
- Asthma Action Plan
- Meal Modification Plan
Please print any of the forms above that apply to your child's condition(s) and have them signed by a doctor before turning them in at your child's school office. When your forms are completed with the required doctor signatures, please mail them to your child's school, or drop them off at the school office any time after August. 1.
Contact Jill Freisberg, District Nurse, at email@example.com or call 785-542-4980 ext.1610