Health Care Plans

Allergy Health Care Plan

• Allergy & Anaphylaxis Health Plan
• Allergy & Anaphylaxis- Spanish

Asthma Health Care Plan

• Asthma Health Plan
• Asthma Health Plan- Spanish

Concussion Management Plan

• Concussion Management Plan PCHS/TMJH
• K-7: ACE Plan

Diabetes Health Care Plan

• Diabetes Individualized Health Plan (IHP)
• Diabetes Individualized Health Plan (IHP) Spanish
• Diabetes Emergency Action Plan
• Diabetes Emergency Action Plan Spanish
• CGM Addendum
• CGM Addendum Spanish
• Pump/Smart Pen Addendum
• Pump/Smart Pen Addendum Spanish
• Injection Addendum
• Injection Addendum Spanish
• Diabetes Medical Management Order (DMMO)

Generic Health Care Plan

• Generic Health Care Plan
• Generic Health Care Plan Spanish

G-Tube Feeding Order

• G-Tube Request for Physician Feeding Safety Orders

Headache/Migraine Health Care Plan

• Migraine Health Care Plan

Lunchroom Accommodations

• Medical Statement to Recommend Special Meals, Accommodations, and Milk Substitute

Medical Release Form

• Consent for Release/Exchange of Information

Medication Administration Authorization

• Health Plan: Medication Permission Form
• PCSD Formulario De Autorizacion A Adminstrar Medicinas

Seizure Health Care Plan

• Seizure Action Plan
• Seizure Action Plan Spanish
• Seizure Medication Management Order
• Seizure Medication Management Order Spanish

Sports Physical

• Sports Physical Form

Transportation

• Generic Transportation Communication for Students with Health Care Safety Needs
• Allergy Transportation Communication for Students with Health Care Safety Needs
• Allergy Emergency Procedures for Transportation
• Asthma Transportation Communication for Students with Health Care Safety Needs
• Diabetes Transportation Communication for Students with Health Care Safety Needs
• Diabetes Emergency Procedures for Transportation
• G-Tube Transportation Communication for Students with Health Care Safety Needs
• Seizure Transportation Communication for Students with Health Care Safety Needs
• Seizure Emergency Procedures for Transportation