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MEDICAL FORMS |
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MEDICAL FORMS |
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Attached
forms:
1)
Emergency
Medical Forms-
a. High
School/Middle School - grades 5-12
2)
Medication
Authorization Form - K-12
It is recommended that medication be given at home, but if
this is not possible, school personnel (school nurse or persons designated by
school policy) may administer medications if the following requirements are met:
· This form must be completed for each medication whether it is for a prescription or over-the-counter medication such as Tylenol. Parental signature is required for both prescribed and non-prescribed medications. A physician's signature is required for all prescription medication. Aspirin is not recommended for school age children and will not be given at school unless ordered by a physician.
· Medication must come from home along with this completed form the day the child is to start taking the medication. A signed note from the physician is acceptable until the parent can get the proper form. You must provide the medication.
· The medication is delivered to the school in the original labeled container in which it was dispensed by the prescribing physician, licensed pharmacist, or manufacturer. Give to secretary or school nurse.
· A written physician's statement or new form is needed if any of the required medication information should change.
3)
Authorization
for Student Possession & Use of An Asthma Inhaler- complete
this form if your child needs to carry an inhaler at school. Turn completed form into the school nurse at beginning of school year.
4)
Authorization
for Student Possession & Use of An Epinephrine Autoinjector- complete
this form if your child need to keep an Epipen or Epinephrine Autoinjector at
school. Turn completed form into the school nurse at beginning of each school
year.
5)
School Policy
on Communicable Diseases-
find out when your child is considered contagious and
should be excluded from school.
6)
Immunization
Requirements for K-12 School Attendance- check the Ohio Department of Health’s requirements
for immunizations and school entry for Kindergarteners and any new students to
the district.
7)
Recommendation
for students over the age of 10 to update Tetanus Status with a Tdap shot
·
A
Tetanus-Diphtheria-Pertussis
(Tdap) shot is recommended to all MS & HS
students if they have not had a tetanus booster in the last five years. Immunity
to these bacterial diseases has most likely faded over time since most MS &
HS students have not had a booster for tetanus, diphtheria, and pertussis since
kindergarten. Once your child receives the shot, please send in documentation to
the school nurse so the health record can be updated. Attached is the Tdap
Vaccine Information Sheet from the CDC.
8)
Birth
Certificate Requirement-
a copy of the official birth certificate issued from the health
department in the county where the child was born is required for all
Kindergarteners and any student new to the district in grades 1st-12th.
Hospital birth certificates are no longer acceptable.
9)
Eye Exam
Requirements for Special Education Students
