your child has an allergy that is potentially life threatening sending your child to school can be particularly worrisome. We want
to assure you that your child’s health and safety are extremely
important to us. We would like to meet with you and your child’s teacher
prior to the first day of school to develop an individual allergy management
plan for your child. We also require medical forms that are signed by your and your physician in order to be able to administer medication to your child.
Please have your physician complete the Anaphylaxis Action Plan
to specify your child’s allergy and provide a written order for
medications that your child should receive in the event of an allergic
reaction. Please sign the bottom of page 1 and complete the contact
information on page 2.
The Medication Authorization form is required to be completed for any medications you would like to have on hand at school for your child that are not included in the Anaphylaxis Action Plan. ( Tylenol, Advil etc.)
The Licensed School Nurse will develop
an individual emergency and health care plan with you for your child
based on doctor orders and also reasonable accommodations for the classroom/school. If your child is new to school or you are new to our district,
please complete the Allergic Reaction Parent Questionnaire to help us
develop the plan.
The Special Diet Statement (students
that have a potentially life threatening allergy) is also required by
Food Service to document the allergy and provide accommodates as needed. That form is also located here and
requires a doctor signature.
If your child has a milk allergy and
requires a milk substitute, please contact Chartwells’ Food Service at
651-463-5025 for their guidance.
Please contact Gail Setterstrom, RN, LSN, Health Services Coordinator at 651-460-1965 or at firstname.lastname@example.org.