Student Health Services Department Resources

Health Related Authorization Forms

English Forms	Spanish Forms
Anaphylaxis Action Plan (rev. 7/2024)
Asthma Action Plan (rev. 7/2024)
Authorization for Student Administered Epinephrine Auto-Injector (rev. 7/2024)	Authorization for Student Administered Epinephrine Auto-Injector (rev. 7/2024)
Authorization for Student Administered Medication (rev. 7/2024)	Authorization for Student Administered Medication (rev. 7/2024)
Authorization to Administer Medication (rev. 7/2024)	Authorization to Administer Medication (rev. 7/2024)
Diabetes Medical Management Plan (rev. 7/2024)
Emergency Care Plan (rev. 7/2024)	Emergency Care Plan (rev. 7/2024)
Seizure Action Plan (rev. 9/2024)
Special Medical Procedures (rev. 7/2024)	Special Medical Procedures Parent Released (7/2024)