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Aurora, CO 80016
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School Nurse's Office

This page contains links to health forms used by our school nurse's office.


Go to the Buffalo Trail Important Parent/Guardian Information and Newsletters page on the left for a link to download Adobe Reader, which will allow you to open all pdf files. 

(Depending on your browser and its settings, the pdf files below may open in a new tab.)


Prescription Medications: Prescription drug medications require written permission for administration in the school setting from both a healthcare provider and a parent/guardian. Please complete and return the Permission to Give Prescription/Homeopathic Medication at School form below. Most pharmacies are happy to provide an extra labeled container so that a prescription can be divided and placed in a properly labeled container for school use. If the dose or the directions change, a new form/container must be submitted. Medication shall be in the original, properly labeled container with the current date printed on the container, and all other parameters required for medication administration (student name, prescribing physician’s name, drug name, dose, route, time and/or frequency).


Students with Allergies and Asthma: Albuterol and Epinephrine should be kept in the clinic unless written permission for a student to carry these prescription drugs has been agreed to by the physician, parent, and school nurse. This written agreement form is located in the school clinic and on the Health Services Web page. It requires, in part, that the student has demonstrated the necessary maturity to keep it on their person. In general, students less than ten years of age should not be burdened with this responsibility. If your child has been diagnosed with asthma, the Colorado State Asthma Care Plan should be completed by the healthcare provider and parent/guardian. For allergies, the Allergy and Anaphylaxis Action Plan should be completed by both the healthcare provider and a parent/guardian.

Click below to download the Allergy and Anaphylaxis Health Care Plan document.

Allergy and Anaphylaxis Health Care Plan

Click below to download the Colorado State Asthma Care Plan document.

Colorado State Asthma Care Plan

Click below to download the Permission to Give Prescription/Homeopathic Medication document.

Permission to Give Prescription or Homeopathic Medication

Copyright © Cherry Creek School District #5, 4700 S. Yosemite Street, Greenwood Village, CO 80111 | 303-773-1184
Cherry Creek School District No. 5 does not discriminate on the basis of race, color, national origin, sex, age or disability in admission to its programs, services or activities, in access to them, in treatment of individuals, or in any aspect of their operations. The lack of English language skills shall not be a barrier to admission or participation in the district’s activities and programs. The Cherry Creek School District No. 5 also does not discriminate in its hiring or employment practices. This notice is provided as required by Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, Title IX of the Education Amendments of 1972, the Age Discrimination Act of 1975, and the Americans with Disabilities Act of 1990. Questions, complaints, or requests for additional information regarding these laws may be forwarded to the designated compliance officer: District Compliance Officer or directly to the U.S. Department of Education, Office for Civil Rights, Region VIII, Federal Office Building 1244 North Speer Blvd., Suite #310, Denver, CO 80204.

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