Healthy Active Children
Medical Health Care Plans
Allergy Action Plan addresses the needs of students with severe or potentially life-threatening allergies in the school setting. Please use this form to address all severe allergies including food, insects, etc. If your child has a food allergy, please also see the “Dietary Requests” section below.
Asthma Action Plan addresses the needs of students with asthma who require the use of inhalers and/or nebulizer treatments during the school day. Another form option is here.
Diabetes Care Plan addresses the needs of students with diabetes who require insulin and/or care at school.
“Other” Emergency Health Care Plans may be created and individualized to address the health care concerns of your child. Please contact your school nurse to discuss any health care needs.
Seizure Care Plan addresses the needs of students with a history of seizures.
**Medical Health Care plans that include a medication for treatment and/or emergency use will also require a Medication Administration Authorization Form for each medication listed. Please click here.