Forms

Clinic Emergency cards (English / Spanish)

Medication Forms

• Prescription
• Non Prescription
• Medication Administration via Patch
• Physicians Statement for Administration of Special Health Care Procedure

 

Asthma

• Physician Statement for Student held Inhaler
• Asthma Action Plan

 

Diabetes

Diabetes Management and Treatment Plan

Guidelines for Self Management of Diabetes at School

Physician Authorization for Student Self Management of Diabetes

Allergies

• Food Allergy Action Plan
• Epi –pen Emergency Health Care Plan
• Physician Statement for Student held Epi – pen
• Diet Modification (English):  https://cms.springbranchisd.com/Portals/164/documents/4-Diet%20Modification%20Form%2015-16.pdf?ver=2016-05-04-101842-070 
• Diet Modification (Spanish): https://cms.springbranchisd.com/Portals/164/documents/4-Diet%20Modification%20Form%2015-16%20Spanish.pdf?ver=2016-01-28-091120-963   

 

Seizure Action Plan

Mosquito Repellent

Release of Medical Information

Immunizations 

• Exclusions From Immunization Requirements 
• Spring Branch ISD Medical Waiver Exemption Form (English / Spanish)