Medical Forms for Parents

Please use these forms if your child has a medical plan.

Generic Individualized Healthcare Plan Form:

Generic Individualized Healthcare Plan Form(English) - Individualized Healthcare Plan/Emergency Action Plan (EAP)

Allergy & Anaphylaxis:

Allergy and Anaphylaxis Emergency Action Plan 2024 (English) - Allergy/Anaphylaxis Emergency Action Plan (EAP)/Medication Authorization & Self Administration Form

Allergy and Anaphylaxis Detailed IHP 2024 - Allergy/Anaphylaxis Individualized Healthcare Plan

Asthma:

Asthma Action Plan 2024 (English) -Asthma Emergency Action Plan & Medication Authorization/Self-Administration Form

Asthma Action Plan 2023 (Espanol) -Asthma Emergency Action Plan & Medication Authorization/Self-Administration Form

Asthma Detailed IHP 2024 - Asthma Individualized Healthcare Plan

Diabetes:

Diabetes medical management plan DMMP 2024 (English)

Seizure:

Seizure Action Plan 2024 (English) - Seizure Individualized Healthcare plan/Emergency Action Plan

Seizure Action Plan 2023 (Spanish) - Seizure Individualized Healthcare plan/Emergency Action Plan

Detailed Seizure IHP 2024 -Seizure Individualized Healthcare Plan

Head Injury:

Head Injury Flowchart 2021 -Flow chart for Parents & Teachers (This Flowchart would be great for Parents or Teachers to look over.)

These Next 4 forms would be more for secretaries to monitor a head injury and the also the form to send to a parent if an injury occurs.

Other Medication Order Forms:

Medication Authorization 2024 (English) -Medication Authorization form for PARENT & PHYSICIAN

Vision Screening:

Vision Symptoms Questionnaire 2024