- Hanna Woods Elementary
- Plans and Communication
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Authorization Forms and Information
For the Elementary-aged student, all medications must be given by the School Nurse, or a trained Parkway Employee in the absence of the Nurse. If a medication cannot be given at home before the school day, or after the student is home, it can be given at school, with orders from the student's doctor.
Please see the forms below regarding medication at school, dependent upon what your student's needs may be. (Please copy/paste the links in a browser to access each form.)
*Authorization to Administer Medication at School - this is the form that will need to be completed for any medication that is to be given at school, including daily medications, inhalers, epinephrine, diastat, insulin or other diabetic medication, or if a medication is to be kept at school in the case a student should need it (for example a student with the diagnosis of migraine headaches, needing tylenol or ibuprofen on occasion). If a student has an order to self-carry an inhaler or epinephrine, you will not need this form in addition.
*Authorization to give a Short-Term Medication at School - for instance, your student has been diagnosed with a bacterial infection, requiring medication to be given throughout the day, at home and at school, for a short time (this is for five days or less). This could also mean cough drops (the student would need to stay in the presence of the Nurse until it has dissolved).
*Allergy Action Plan - if your student has a Food Allergy, and may require the use of the life saving medication Epinephrine, please have this form completed by his/her doctor:
*Permission to carry Epinephrine - as we are currently in a Pandemic with COVID-19, if you choose as the Parent/Guardian for your student to carry Epinephrine in his/her backpack, you could use this link to print the form. (This would ensure you have easier access to this medication in the event the school would need to close due to wide-spread illness.) Please understand that this would be not be encouraged for younger children, or those you feel may not understand the responsiblity of carrying this on his/her person - it would need to be kept in the backpack at all times, and not removed. The School Nurse and Staff would be alerted that a student had this order on file, and had his/her Epinephrine in the backpack, to use in case of an emergency.
*Asthma Action Plan - if your student has Asthma, and will be needing to use an inhaler while at school, please have this form completed by his/her doctor (or the doctor's personal preference is fine, but will look similar to this form):
*Permission to carry Inhaler - as we are currently in a Pandemic with COVID-19, if you choose as the Parent/Guardian for your student to carry an Inhaler in his/her backpack, you could use this link to print the form. (This would ensure you have easier access to this medication in the event the school would need to close due to wide-spread illness.)
*Diabetes Medical Management Plan
*Exchange of Information - It may be necessary for the School Nurse, or other Staff at school to have communication with a doctor, or another provider outside of the school setting. Please complete this form in that event, as necessary.
