Medical Forms » Medical Forms

Medical Forms

Asthma
If your scholar has asthma, please complete the following:
  • Asthma Action Plan
 
Allergy
If your scholar has an allergy, please complete the following:
  • Anaphylaxis Action Plan
 
Medication
If medication needs to be given to your scholar while at the Academy, or kept in his/her backpack, please review and complete the following:
 
The Medication Policy below explains the requirements for administering medication of any kind at school (or during school-sponsored activities such as field trips). 
 
Please be aware this not only applies to normal prescription medications, but also medications like Motrin, Benedryl, medicated lip balm, Tums, etc. Discuss with your physician any medication that might be needed at school and have the physician fill out the Medication Release Form and deliver it to the main office.
 
Please read the entire policy. All medications must be checked in at the main office by the parent / guardian or responsible adult, even if the medication is being kept in his / her backpack.
  • Medication Administration Authorization
 
Seizures
If you scholar has a history of seizures, please complete the following:
  • Seizure Questionnaire
 
 
Once received, forms will be reviewed by a Registered Nurse.  
Forms & medication must be provided one week prior to scholar attending a field trip.