Medical Forms and Concussion Protocol

A completed Student Medical Form (FORM A1420-1 attached) is required each school year, or when a medical need is identified, or when the student transfers to another school,  or when the medication and/or dosage requirements change.


Specific to asthma, every student is now permitted to carry his or her asthma medication if the student has his or her parent’s or guardian’s permission.


Parents/guardians and adult students are responsible for ensuring that a current, completed Student Medical Form is on file at the school. 

 

FORM A1420 - 01 Student Medical Form.pdf

 

FORM A1420 - 06 Plan of Care Anaphylaxis.pdf

FORM A1420 - 07 Plan of Care Asthma.pdf

FORM A1420 - 08 Plan of Care Diabetes.pdf

FORM A1420 - 09 Plan of Care Epilepsy.pdf

FORM A1420 - 10 Plan of Care Other Medical.pdf 

 

Concussions:

 

If your son/daughter sustains a concussion - please alert the Main Office.  We will alert their teachers, guidance counselor and Vice Principal.  Please print the Concussion forms and have your medical practitioner fill out the assessment form / clearance form.  Bring the completed copy to the main office or email to  [email protected].

 

A7216 - Student Concussion Protocol.pdf

FORM A7216 - 01 Medical Concussion Assessment Form.pdf

FORM A7216 - 02 Management Plan for Return to School and Return to Physical Activity Plan.pdf

FORM A7216 - 03 Concussion Medical Clearance Form.pdf