Medical Information

Prevalent Medical Conditions & Medication at School

1. 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;

2. If prescription or non-prescription medication must be stored, administered, or carried at school for your child, please see PART II;
3. 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:

1. You have never completed/submitted this form for one of the four prevalent medical conditions*; or
2. You have previously completed/submitted this form, but your child’s prescription or treatment has changed  

 ANAPHYLAXIS - GF514.10B

ASTHMA - GF514.10C

DIABETES --GF514.10D

EPILEPSY SEIZURE --GF514.10E

*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. 

Allergies at School

St. Teresa of Avila School is an allergen aware school. There are pupils and staff in attendance who suffer from severe and life threatening allergies to certain foods, such as dairy, peanut and nut products. Exposure to even the smallest quantities can cause severe life threatening reactions. Anaphylaxis is a severe and life threatening allergic reaction. The most common allergen triggers are food, insect stings, medications, and latex. An anaphylactic reaction involves symptoms from two or more body systems.