Prevalent Medical conditions/storage of medication
Divine Mercy CES is committed to supporting the individual needs of all students, including students with prevalent medical conditions (anaphylaxis, asthma, diabetes, epilepsy, and other seizures) as well as other students who require the storage or administration of medication.
It is important for us to keep updated files regarding the medical conditions of our students; to this end we ask that:
- If your child was newly diagnosed with one of the four prevalent medical conditions (anaphylaxis, asthma, diabetes, epilepsy, and other seizures) over the summer, OR there is a change to your child's prescription or medication, please see PART I;
- If prescription or non-prescription medication must be stored, administered, or carried at school for your child, please see PART II;
- Completed forms are to be submitted to the Main Office.
PART I – NEWLY DIAGNOSED OR UPDATED PREVALENT MEDICATION CONDITION (signed by a doctor)
Please submit the appropriate form(s), attached if:
- You have never completed/submitted this form for one of the four prevalent medical conditions*; or
- You have previously completed/submitted this form, but your child’s prescription or treatment has changed
- ANAPHYLAXIS - GF514.10B
- ASTHMA - GF514.10C.pdf
- DIABETES --GF514.10D.pdf
- EPILEPSY SEIZURE --GF514.10E.pdf Epilepsy Or Other Seizure Disorder Plan Of Care
*If you have previously submitted a Plan of Care for one of the four Prevalent Medical Conditions and it is still relevant, you do not need to complete/submit another one.
PART II -- Authorization for Storage and Administration of Medications
Authorization for Storage and Administration of Medications - GF035
- Required annually for any prescription or non-prescription medication being stored, carried, or administered at the school.
- All authorization for the administration of medication shall expire as of the last school day in June unless discontinued at an earlier date.
What type of medication(s) |
Which Part of GF 035 to Complete
|
Notes |
PRESCRIBED MEDICATION(S) being stored, carried, or administered at school |
-Both Part A and B |
-Doctor’s signature required |
NON-PRESCRIBED MEDICATON being stored, carried, or administered at school |
-Part B only |
-No doctor’s signature required |
We ask that you complete the appropriate form(s) as they apply to your child’s specific situation and return them to the school to the main office. Please review all forms carefully before submitting as some forms require a physician’s signature.