FSD Health Forms

In order to dispense prescription or over-the-counter medication, the school district is required to have an authorization form completed by a physician and the parent/guardian. Medication forms for authorized self-carry medications must be completed by the parent/guardian.

Medication at School Authorization Form

Students with life-threatening allergies are required to complete this form and provide unexpired epinephrine prior to starting school.

Emergency Care plan for anaphylaxis/allergy

Please contact the school nurse to go over the Treatment at School form.

Authorization for treatment at school form - Feeding treatment

Authorization for treatment at school form - other treatments

Please contact the school nurse to go over the Request for Special Dietary Accommodations School form. 

request for special dietary accomodations