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.
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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