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Allergic Reaction / Anaphylaxis Action Plan & Consent Form
This form is for mild to severe food allergy or other allergy, such as bee stings, etc, when anaphylaxis may happen and epi-pen may be required. New forms must be turned in at the beginning of each school year or whenever there is a change in information provided.
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Asthma Action Plan & Consent Form
This form is used for Asthma diagnosis. For seasonal allergies use Seasonal Allergy Medication & Consent Form.New forms must be turned in at the beginning of each school year or whenever there is a change in information provided. -
Diabetes Management Authorization & Consent Form
Attach this form to your doctor provided Diabetes Medical Management Plan. New forms must be turned in at the beginning of each school year or whenever there is a change in information provided.
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Epileptic / Seizure Action Plan & Consent Form
New forms must be turned in at the beginning of each school year or whenever there is a change in information provided.
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Medication Authorization & Consent Form
This form is for all Over-The-Counter medications or Prescription medications that do not require an Action Plan.
New forms must be turned in at the beginning of each school year or whenever there is a change in information provided.
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Seasonal Allergy Medication and Consent Form
New forms must be turned in at the beginning of each school year or whenever there is a change in information provided.
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CHDP Report of Health Examination for School Entry
Physician to complete Report of Health Examination for School Entry - CHDP -
Student Emergency Health Information
Complete the Student Emergency Health Information form and submit to your child's school. Must be updated annually or whenever there is a change in information provided.
Select a School...
Select a School
- Amador Elementary School
- Cottonwood Creek K-8
- Dougherty Elementary School
- Dublin Elementary School
- Dublin High School
- Fallon Middle School
- Frederiksen Elementary School
- Green Elementary School
- Kolb Elementary School
- Murray Elementary School
- Valley High School
- Wells Middle School
- Dublin Adult Education
