Elementary Schools

Guidelines for students with food allergies
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Detailed description of information for parents and students in order to safeguard the child at school when diagnosed with a food allergy.

Food_Allergies_Guidelines.pdf, 47.92 KB (Last Modified on May 17, 2011 )

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Food Allergy Action Plan
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Form to be completed by parent and physician in regards to specific information on the treatment of a child with a food allergy in the event of a possible ingestion of offending food.

Food AllergyActionPlan.pdf, 495.79 KB (Last Modified on May 16, 2012 )

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Prescription medication form for students with Food Allergies
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Please note that you will find several medication forms for students with food allergies. The first form is the standard form for the administration of any prescription medication at school by school personnel such as Epi-pens and inhalers and those medications are stored in the clinic.

CO-0880-1 Auth for Prescription and or OTC Meds.doc, 28.00 KB (Last Modified on May 16, 2012 )

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Medication form for Over-the-Counter medications such as Benadryl.
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This is a medication form specifically intended to be used only two to three times during the school year for the OTC medications listed on the form. Please note that these medications are provided by the school in tablet form only. Thus, if your child needs liquid or chewable Benadryl or other medications, the parent must provide those medications.

All medications prescribed by the physician must use the Authorization for Prescription medication form. Please contact the school nurse in your child's building with any questions or concerns that you might have.

CO-0870 OTC Meds Authorization.doc, 52.50 KB (Last Modified on May 16, 2012 )

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Permission per parent/physician for the student to carry emergency medications such as an Epi-pen.
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Authorization for Student Possession and Use of emergency medications such as an Epi-pen and/or inhaler. This form also includes a Self-Carry agreement that must be completed by student and parent.

Please remember that Ohio law requires that an additional Epi-pen be stored in the clinic when a student carries an Epi-pen in the event that the Epi-pen has been lost or misplaced or left at home or an additional dose is needed prior to the arrival of the paramedics.

CO-0900 Auth for Stud Possession of Meds 2 17 2012.doc, 50.00 KB (Last Modified on May 16, 2012 )

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Elementary Schools

News from the Nurse

Guidelines for students with food allergies

Food Allergy Action Plan

Prescription medication form for students with Food Allergies

Medication form for Over-the-Counter medications such as Benadryl.

Permission per parent/physician for the student to carry emergency medications such as an Epi-pen.