Forms

If your student requires medication at school, please use this form:

• Request to Administer Medication Form- Bilingual (valid for one school year)

If your student would like to self- carry an emergency medication, please use this form:

Request to administer medication- bilingual

Emergency Medication Self- carry

If your student has a respiratory issue requiring an inhaler, please use this form:

Asthma action plan- english

Plan de accion contra el asma- espanol

For students with anaphylaxis to food, insects, or other substances, please use this form:

Food allergy & anaphylaxis emergency care plan- english

plan de atencion de emergencias de alergias alimentarias y anafilaxia

For students with a seizure disorder, please use this form:

Seizure management & treatment plan- english

formulario de plan de manejo y tratamiento de convulsiones

If your child requires modification of school meals or alternative methods of nutrition, please use this form:

Special dietary needs form

gastrostomy tube feeding authorization form

If you're a new patient at the Lonestar Circle of Care GISD Health & Wellness Center, please use these forms:

authorization by a parent/ legal guardian to allow non- parental medical consent for a minor

consent for medical, dental, surgical, or psychological treatment of a minor by a non- parent/ non- guardian