Medication Forms

Related Files

Asthma Action Plan

Asthma Action Plan.pdf 99.61 KB (Last Modified on September 19, 2019)

Comments (-1)
Seizure Action Plan

Form required for any student with a seizure disorder/epilepsy

seizure action plan.pdf 61.784 KB (Last Modified on November 20, 2017)

Comments (-1)
food allergy and anaphylaxis plan rev 5-14.pdf

Form required for any student with a severe food allergy

food allergy and anaphylaxis plan rev 5-14.pdf 629.169 KB (Last Modified on November 20, 2017)

Comments (-1)
food allergy and anaphylaxis plan rev 4-15 spanish.pdf

food allergy and anaphylaxis plan rev 4-15 spanish.pdf 230.979 KB (Last Modified on November 20, 2017)

Comments (-1)
scucisd medication administration form 3-15.pdf

Form required for short or long term medication administration at school

SCUCISD Medication Authorization Form 8-19.pdf 489.4 KB (Last Modified on August 28, 2020)

Comments (-1)
scucisd medication administration form 3-15.spanish.pdf

SCUCISD Medication Authorization Form 8-19_SPA.pdf 137.22 KB (Last Modified on August 28, 2020)

Comments (-1)

Asthma Medication Plan (English)

Form required for Asthma Medication administration

Comments (-1)
Asthma Medication Plan (Spanish)

Form required for Asthma Medication administration

Comments (-1)
Diabetic Medical Management Plan

Form required for Diabetic Management at School

Comments (-1)
Self-Administration Form (Parent-Student)

Forms (both) required for Self Administration of Asthma, Seizure, Diabetic, or Epi-Pen medications

Comments (-1)
Self-Administration Form (Physician)

Forms (both) required for Self Administration of Asthma, Seizure, Diabetic, or Epi-Pen medications

Comments (-1)