PCSD

Health Care Plans and Forms

Asthma

Please submit School Asthma Emergency Plan and the state required Asthma Self Authorization Form annually.

Concussion Care Plan

Diabetes

Please submit the Diabetes School Health Care Plan and state required Glucagon Authorization if requesting to have Glucagon at school annually.

Food Allergy

If your student requires an Epi Pen you must submit an Epi Pen Authorization form. If your student requires an inhaler you must submit the Asthma Self Authorization form. All medications given for an allergic reaction must be written on the Food Allergy Action Plan. All forms must be signed by your doctor and submitted annually.

Medication Policy and Medication Form

Other Health Services Forms

Seizure Care Plan

Please submit Seizure School Health Care Plan signed by your doctor annually.