Health Room Forms

1. Form 4-2A Request to Store and Administer Emergency Rescue Medications and Daily, Routine, Scheduled Medications, As Applicable

2. Form 4-9A Self Administration of Medication

3. Form 5-5G Diabetes Emergency Action Plan for Hyperglycemia (High Blood Sugar)

4. Form 5-5F Diabetes Emergency Action Plan for Hypoglycemia (Low Blood Sugar)

5. Form 5-3A Emergency Action Plan for Severe Asthma

6. Form 5-4A Emergency Action Plan for Convulsive Seizures

7. Form 5-2A Emergency Action Plan for Severe Allergy

8. Form 5-5B Request for Diabetes Care/Insulin Administration in School