If your child has an LIFE Threatening (anaphylactic) allergy the health office requests that parents/guardians
provide the following:
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:
If your child has a NON-LIFE Threatening (non-anaphylactic) allergy the health office requests that parents/guardians provide the following:
***Please note that some of the above forms require completion and signature of your healthcare provider as well as the parent/guardian signature.