Alpharetta Elementary School 
Clinic
  • Home
  • Too Sick for School?
  • Medication
  • Forms
  • Tip Sheets
  • Student Health Services
  • Contact
Authorization Forms and Care Plans
Picture
Authorization forms MUST be completed BEFORE ANY medication can be given at school. 

If you have a question about which form to use or how to complete it, please contact Mrs. Casey in the Clinic.


Medication Authorization Forms

SHS-1 Authorization to Give Medicine
File Size: 143 kb
File Type: pdf
Download File

SHS-2 Authorization to Carry Medicine
File Size: 277 kb
File Type: pdf
Download File

Diastat Order Form
File Size: 104 kb
File Type: pdf
Download File

SHS-1 Authorization to Give Medicine (SPANISH)
File Size: 134 kb
File Type: pdf
Download File

Authorization to Carry Medicine (SPANISH)
File Size: 294 kb
File Type: pdf
Download File


Specialized Care Plans

Food Allergy Care Plan
File Size: 130 kb
File Type: pdf
Download File

Asthma Action Card
File Size: 163 kb
File Type: pdf
Download File

Food Allergy Care Plan (SPANISH)
File Size: 122 kb
File Type: pdf
Download File

General Allergy Action Plan
File Size: 64 kb
File Type: doc
Download File

Diabetes Care Plan
File Size: 109 kb
File Type: pdf
Download File

Individual Care Plan
File Size: 35 kb
File Type: pdf
Download File

Seizure Care Plan
File Size: 113 kb
File Type: pdf
Download File

Powered by Create your own unique website with customizable templates.
  • Home
  • Too Sick for School?
  • Medication
  • Forms
  • Tip Sheets
  • Student Health Services
  • Contact