• The Medication Permission form should be on file, filled out and signed by a parent/guardian, for any prescription or over-the-counter medications that may be administered to a student, in the clinic, during normal school hours.
     
     
    An Allergy-Anaphylaxis Action Plan should be on file, filled out and signed by a parent/guardian, and the prescribing physician for any student who has a severe allergy and may need an injection of epinephrine for an anaphylactic reaction, during normal school hours.

    HB 1688, which passed during the 2001 Texas Legislative Session allows students to self-administer asthma medication while at school or school functions with permission from the parent/guardian and the prescribing physician. This is the district form, the physician may have a preferred form which would be acceptable. Any form used must be signed by the parent/guardian and the prescribing physician.
     
     
     
     
    A Seizure Action Plan should be on file, filled out and signed by a parent/guardian, and the prescribing physician for any student who is being treated for a seizure disorder, and may need seizure medication should a seizure occur during school hours.
     
     
     
    This form is for diabetic students only and gives permission for an Unlicensed Diabetic Care Assistant (UDCA) to help a child manage their diabetes at school if the school nurse is not present. Please see your nurse for further information.