Forms

If your student requires medication at school, please complete the following forms:

medication administration form

formulario de administracion de medicamentos

emergency medication self- administration/ self- carry form

For more information regarding medication administration, please contact your campus nurse or refer to:

2025- 2026 pfisd Medication administration policy & guidelines

If your student has a respiratory condition requiring an inhaler, please complete the following forms:

asthma action plan

plan de accion para el asma

emergency medication self- administration/ self- carry form

For more information or questions regarding asthma or respiratory conditions, please contact your campus nurse.

For students with anaphylaxis to food, insects, or other substances, please complete the following forms:

family food allergy & health history form

formulario de historial de alergias alimentarias y salud familiar

anaphylaxis action plan- english

plan de accion para la anafilaxia

emergency medication self- administration/ self- carry form

For more information regarding food allergies and anaphylaxis, please contact your campus nurse.

For students with a seizure disorder, please complete the following forms:

seizure action plan

questionnaire for parent of a student with seizures

Plan de accion para convulsiones

cuestionario para padres de un estudiante con crisis

For more information or questions regarding seizure disorders, please contact your campus nurse.

For students with adrenal insufficiency, please complete the following forms:

emergency action plan for adrenal insufficiency

For more information or questions regarding adrenal insufficiency, please contact your campus nurse.

For special procedures including, but not limited to suctioning, oxygenation, g-tube feedings, urinary catheterization, diapering, etc. please complete the following form:

physician/ parent request for administration of special procedures

For more information or questions regarding special procedures, please contact your campus nurse.

To provide parental consent for your campus nurse to contact your healthcare provider, please complete the following form:

consent to release medical information

consentimiento para la divulgacion de informacion medica

consent to releae medical information- vietnamese

For any questions or concerns regarding the release of medical information, please contact your campus nurse.

If your child requires meal substitutions or modifications, please complete the following forms:

special meals request form

Solicitud de comidas especiales

For more information or questions regarding special meals requests, please contact your campus nurse.