Health Forms

CMS Mandatory Medical Forms

Students that require medical attention during school hours are required by CMS to have proper documentation. This documentation allows school and medical staff to treat your child. Please note that these medical forms must be filled out by BOTH parent and physician.

• CMS – Asthma Action Plan
• CMS – Asthma Action Plan (Spanish)
• CMS – Diabetic Care Plan
• CMS – Diet Order Form
• CMS – Medication Authorization Form
• CMS – Seizure Action Plan
• CMS – Seizure Action Plan (Spanish)
• CMS – Seizure Diastat Order Form
• CMS – Severe Allergy Action Plan

Completed Medical Forms:
Scans or clear photos ​of completed Medical Forms must be emailed directly to BOTH Gigi Atkinson (School Registrar) and Cassi King (School Nurse).

Questions:
For questions about CMS medical forms, contact Cassi King.