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Downloadable Forms
 

Authorization for Medication During School Form

  Carmichaels Area District Policy  Section: Pupils   Title:  210. Use of Medications

If a physician deems it medically necessary for students to take medications, either prescription or non-prescription, during the school day, the Authorization for Medication During School Form , signed by the parent and completed and signed by the physician, must be returned to the Health Office with the medication in the appropriate pharmacy-labeled container (over-the-counter medications should be in original bottle).  A new form is required for each medication change, dose change, time change and for each school year.  It is the responsibility of the student to report to the Health Office for his/her medication.

Please remember that your child may not receive his/her medication if these procedures are not followed.

Private Physician's Report of Physical Examination
If you wish to have your child's physician perform the physical examination when it is required, this form must be completed by the physician and returned to the school nurse.

Private Dentist Form   
If you wish to have your child's dentist perform the dental examination when it is required, this form must be completed by the dentist and returned to the school nurse.

Sports Physical Form
Pennsylvania Interscholastic Athletic Association (PIAA) Physical Form

Asthma Management Form
Asthma Inhalers Self Administration Form

  Carmichaels Area District Policy  Section: Pupils   Title:  210.1.  Possession/Use of Asthma Inhalers