In alignment with Policy/Program Memorandum No. 161 Supporting Children and Student with Prevalent Medical Conditions (anaphylaxis, asthma, diabetes, and epilepsy) in Schools, parents/guardians are asked to: - become familiar with the parental responsibilities; - inform the school principal of medical conditions on an annual basis through the request and consent for intervention form; and, - participate in the co-creation of the Individual Plan of Care on an annual basis.
Please review the forms that pertain to you child's prevalent medical condition and submit the signed forms at the Main Office or via email at [email protected].
Asthma:
Asthma Management Roles and Responsibilities .pdf
Individual Asthma Plan of Care.pdf
Authorization for Administration of Medication for Asthma Parent Form Annual Completion .pdf
Physician Authorization for Asthma Management - use only when condition is new or interventions have changed.pdf
Diabetes:
Diabetes Management Roles and Responsibilities.pdf
Individual Diabetes Plan of Care.pdf
Annual Parent Guardian Request and Consent for Diabetes Intervention.pdf
Epilepsy:
Annual Parent Guardian Request and Consent for Epilepsy Intervention.pdf
Individual Epilepsy Plan of Care.pdf
Epilepsy Management Roles and Responsibilities.pdf
Physician Authorization for Epilepsy Management - use only when condition is new or interventions have changed.pdf
Anaphylaxis:
Allergy Anaphylaxis Management Plan.pdf
Individual Allergy Anaphylaxis Plan of Care.pdf
Secondary - Annual Parent Guardian Request and Consent for Allergy Anaphylaxis Intervention.pdf
Secondary - Physician Authorization For Administration of Allergy Anaphylaxis Medication- use only when medication is initiated or changed.pdf
Opioid Management Plan:
Opioid Overdose Management Plan.pdf