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Health Services Forms - Formularios de Servicios de Salud
These forms will allow the health services team to provide care for your student while at school. Please feel free to ask your campus clinic staff if you have any questions.
Food Allergy & Anaphylaxis Plan - Plan de alergia alimentaria y anafilaxia
For students with anaphylaxis to food, insects of other substances, please have a physician fill out this form:
Respiratory Action Plan - Plan de Acción Respiratorio
For students with respiratory issues requiring an inhaler or nebulizer, please have a physician fill out this form:
Seizure Care Plan - Plan de Atención de Convulsiones
For students with a seizure disorder, please have a physician use this form:
Diabetic Care Plan - Plan de Atención al Diabético
If your student is a diabetic, please have a physician use this form:
Medication Administration form - Formulario de administración de medicamentos
For students with medication in the health office, parent/guardian and physician must fill out this form, and a parent/guardian must drop off medication.
Private Duty Nurse Packet
For students with a private duty nurse, this packet must be filled out, and sent by the private duty nurse to: magdalene.connaughty@huttoisd.net
Elevator Request Form - Formulario de Solicitud de AscensorPlease contact your campus nurse to learn more about the required documentation for elevator passes.
Comuníquese con la enfermera de su campus para obtener más información sobre la documentación requerida para los pases de ascensor.