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Allen Independent School District

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Allen ISD Health Forms

Health Forms

Allergy/Anaphylaxis Action Plan

Life-threatening Allergy Care at School

2020 Allen_Allergy_SchoolHealthPlan.pdf 739.67 KB (Last Modified on July 23, 2020)

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Asthma Action Plan

Asthma Care at School

_COVID Asthma Action Plan.pdf 363.45 KB (Last Modified on July 12, 2020)

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Asthma Action Plan (Spanish)

Asthma Care at School

_COVID Asthma_Action_Plan-SPANISH.pdf 358.51 KB (Last Modified on July 23, 2020)

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Continous Glucose Monitoring (CGM) Authorization

Parent Request and Agreement for CGM use in School

Continous Glucose Monitoring Authorization.pdf 526.87 KB (Last Modified on May 30, 2019)

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Food Substitution Request for Allergy Disability

Request for Food Substitution in Cafeteria

2020-2021 Disability-Severe Food Allergy Request Form.pdf 250.15 KB (Last Modified on June 22, 2020)

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Gastric-tube Feeding Authorization

Parent Permission with Notary Signature Verification

G-Tube Authorization HCP - Notary.pdf 11.51 KB (Last Modified on May 30, 2019)

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Gastric-tube Heatlhcare Provider Orders

Doctor Orders for G-tubes

G-Tube_HCP Authorization - Gastric Feed.pdf 204.39 KB (Last Modified on May 30, 2019)

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Medication Request and Authorization

Parent Request and Permission for Medication at School

Medication Authorization Form.pdf 637.64 KB (Last Modified on May 30, 2019)

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Medication Authorization and Request (Spanish)

Parent Request and Permission for Medication at School

Medication_Authorization_Spanish.pdf 559.82 KB (Last Modified on May 30, 2019)

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Seizure Action Plan

Seizure Care at School

Seizure Action Plan.pdf 108.24 KB (Last Modified on July 16, 2018)

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Specialized Procedures Healthcare Provider Orders

Doctor Orders for Special Procedures at School

PHYSICIAN Orders for Specialized Health Care Procedures.pdf 390.96 KB (Last Modified on May 30, 2019)

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Specialized Procedures Parent Authorization

Parent Permission for Special Procedures

Specialized Procedures Parent Authorization.pdf 400.38 KB (Last Modified on May 30, 2019)

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Unlicensed Diabetic Care Assistant (UDCA) Authorization

Parent Permission for a UDCA to Care for a Student with Diabetes

2_UDCAParentAuthorization_EngSpanish.pdf 179.06 KB (Last Modified on May 30, 2023)

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