Medical Plans
If your child has asthma, allergies, diabetes, or another medical condition that requires medical attention or intervention while in school, a medical action plan should be completed. Forms should be completed and signed by a licensed medical health care provider. Parents/guardians also should sign the forms and complete all parent/guardian sections (front and back).

Click here for the Allergy Action Plan.
Click here for the Asthma Treatment Plan.

Medication
If your child needs to take medication in school, a medication form needs to be completed by a licensed healthcare provider, signed, and stamped. This form must also be signed by the parent/guardian. All medication should be submitted in its original container with the medication label on it.

Click here for the Central Authorization for Medication Form.

Orthopedic Injuries
Medical note is required for use of the following during school hours:

Crutches
Splints
Casts
Wraps
Braces
Wheelchairs
Any orthopedic device

The following information must be included in the medical note for orthopedic injuries/devices:

Purpose/diagnosis
Student may safely return with this device to school
Student has been instructed in the proper use of the device
Student is able to safely manage stairs with this device
Approximate length of time the device will be required
Date(s) of restriction from physical education/sports, including return to play date

Central Elementary School