MOUND BAYOU PUBLIC SCHOOL DISTRICT

HEALTH MATTERS

Message to the Parents of MBPSD

Darlene Moore, RN

HEALTH FORMS

ASTHMA

SEIZURE

Parent/Guardian Acknowledge of Seizure Medication

Student Agreement for Emergency Seizure Medication

Authorization for Carrying/Administration of Emergency Seizure Medication

Medication Permission Request Form

DIABETES

Parent/Guardian of Children with Diabetes/Potential Hypoglycemia

Diabetes Self Administer/Carrying Hypoglycemia Mediacation

Authorization for Self Administer/Carrying Hypoglycemia Mediacation

Medication Permission Request

ALLERGY

Parent's Statement of Student's Allergy Severity

Parent/Guardian of Students with Potential Anaphylactic Reactions to Foods

Student Agreement to Self-Administer Emergency Medication

Statement for Carrying/Self Administering Emergency Medication

Medication Permission Request Form

Wellness Clinic Cover Letter

Parent Consent to Carry/Use Inhaler

Student Agreement to Self-Administer

Parent/Guardian Asthma Plan Letter - ITM

Parent/Guardian Asthma Plan Letter - JFK

Asthma History Form 1

Asthma History Form 2

Doctor Healthcare Provider Letter - ITM

Doctor Healthcare Provider Letter - JFK

Asthma Action Plan

Authorization to Administration of Inhaled Asthma Medication

Medication Permission Request Form