Authorization and Guidelines Forms 

• Parent/guardian Medication Administration Permission Form English Version
• Guidelines for Medication Administration English Version
• Parent/guardian Medication Administration Permission Form Spanish Version
• Guidelines for Medication Administration Spanish Version

Medical Management Plans

• Anaphylaxis Medical Management Plan
• Asthma Medical Management Plan
• Diabetes Medical Management Plan
• Seizure Medical Management Plan
• G-Tube Medical Management Plan
• Catheterization Medical Management Plan
• Physician Authorization for In-School Treatment/Procedure

Self-Carry Forms

Authorization to Carry and Self-Administer Asthma Inhaler, Epi-pen, and/or Pancreatic Enzyme Supplement

Authorization to Carry Diabetes Equipment and Self Administer Diabetes Medication/Procedures

Nutrition Forms

• Zone Form

Revised 04/2023