• This packet contains all of the required forms (4) for a student diagnosed with asthma to keep treatment medications in the school clinic.  A completed medication form is needed for each medication; so, print more than one copy of this form if your student will need more than one asthma medicine at school.  There are both parent and doctor forms to be completed.
     
    physician's documentation form  (Doctor to complete and sign- 1 page)
     
    parent history form  (Parent to complete and sign- 2 pages)
     
    release of medical information form (For school nurse to contact doctor's office for any medical information)
     
    medication form (For doctor to complete and sign for a prescription and/or parent to complete and sign if over-the-counter medicine- 1 page)