- Asthma Care Plan (State of Colorado)
- Child Statement of Health (needed annually for preschool and kindergarten students)
- Concussion Fact Sheet / TBI Fact Sheet
- Concussion Information – please read this if your child has been diagnosed with a concussion
- Health Care Plan for Severe Allergies updated in 2016 (required for students with an Epi-pen and/or Benadryl)
Medication Information / Forms
No medication, including over-the-counter, can be administered without a school medication form completed and signed by both the parent and the doctor. All medications must be in their original or pharmacy-labeled containers. Preschool and Elementary aged children are not allowed to carry over-the-counter medication or prescribed medication with them. Never send medicine and/or vitamins to school in your child’s backpack.
Please complete a Student Medication Request and Release Agreement form with your health care professional if your child will need to take ANY medications at school. This includes over-the-counter medications such as Ibuprofen, Benadryl, Medicated ointments, and lotions. It also covers prescription medication as well. Call our Health Assistant at 303.387.5628 should you have any questions regarding this.
- Student Medication Request and Release Form (Required documentation for medications in school. For K-6 students)
- Middle School Permission To Carry – Self-Administer Medication
- Middle School Contract to Carry – Self-Administer Medication
- Provider Authorization Form with Tylenol (effective August 2016)
New Tylenol Process for DCSD Elementary School Students
The process for administering Tylenol (acetaminophen) to elementary school students has changed. Parents must provide a medication order signed by their Healthcare Provider if their student has a condition that will require Tylenol to be given at school. The parent will provide any medication that their student needs at school. DCSD will no longer have a standing physician order for elementary students to receive acetaminophen. This is based on guidance from CDE in accordance with the Colorado Nurse Practice Act. The state recommends schools operate in a manner similar to a hospital setting; no medication, even an over-the-counter one, like Tylenol, can be given without a doctor’s order.
Once received, a nurse may delegate administration of either a prescription or over-the-counter med, based on the Health Care Provider’s order. More information about the current recommendations for the use of Tylenol can be found at this link: Tylenol Infant & Child dosing
Over the Counter and Prescription Medication Process for DCSD Middle School Students
Students at the middle school level may carry over the counter medications such as acetaminophen, cold preparations, or vitamins, but should carry only a one-day supply as per above policy. A permission to carry form is not required for these products.
Seventh and eighth-grade students may assume responsibility for bringing to school and administering their own prescription medication providing they carry only enough for one day and have the self-administration “permission to carry medication” form. (Forms are available at the school office or online at www.dcsdk12.org. click on the H in the DCSD A to Z bar at the bottom of the screen, then Health Services, then Medication Policy and Forms on the right-hand side.) Students using poor judgment in carrying and taking their own medication will have such medication confiscated by school personnel, and parents or guardian will be notified. A structured plan will then be developed for the administration of the medication. Any parent or guardian who chooses not to sign the permission to carry medication form may request that a structured plan be devised for his or her student.
Please call the Health and Wellness Department at 303-387-0260 or email firstname.lastname@example.org if you have any questions.
Immunization Information / Forms
Colorado law requires that all students attending Colorado schools and licensed child care centers to be vaccinated against certain diseases unless a medical or non-medical exemption is filed. For more information about vaccine requirements, resources and exemptions, please visit the Colorado Department of Public Health and Environment’s School Immunization page.
- Certificate of Immunization
- Immunization and Exemption Information
- Colorado Department of Public Health & Environment Immunization Information
- Vaccine Exemption Information
- Medical Exemption to Immunizations (effective July 2016)
- Non-Medical Exemption to Immunizations – April 2017