Medication Administration Permission Forms
Please see the linked guidelines regarding the administration of any medication by the school nurse or delegates during school hours, school athletic or after-school programs.
Permission forms for the administration of specific medications and treatments:
Anaphylaxis-Epinephrine Care Plan-RX TX orders IHP-IEHP 15-16 9-10-15
IHP-IHEP Diabetes 15-16 insulin pump -9-10-15
IHP-IEHP Med- PRN & RX Parent & Pract. 15-16 9-10-15
Asthma Care Plan RX Tx orders IHP-IEHP 15-16 9-10-15
Epilepsy – Seizure Care Plan-RX TX orders IHP-IEHP 15-16 9-10-15