Medication Forms

• Over the Counter Skin Medication

  • (diaper cream, sunscreen, & bug spray) 

  • Valid for up to 1 year

• Medication Authorization

  • OTC or Prescription

  • (in original container w/manufacturer instructions)

  • Valid for up to 2 weeks (without doctor signature)

  • Valid for up to 1 year (with doctor signature)

• Asthma Action Plan

  • required for children with Asthma

  • requires doctor signature

• Food Allergy & Anaphylaxis Emergency Care Plan

  • required for children with Food Allergies

  • requires doctor signature

• Health Plan 

  • required for children with long term medications

  • required for children with special medical needs outside of Asthma or Allergies

  • requires doctor signature