
DEAR FAMILIES, August 28, 2023
This message is intended for the families of students with prevalent medical conditions where documentation is needed by the school:
To help us gather important medical information about your child, we ask that you select the correct Plan of Care form below, complete it and return it to KSS as soon as possible. Completed plans of care can either be printed and returned with your child to their teacher, emailed to [email protected] or faxed at 613 544 8795. The health and safety of our kids is our first priority. Thank you for helping us stay informed on your child's medical conditions and Plan of Care for the 2023-2024 school year!
Sincerely,
The KSS Team
https://www.limestone.on.ca/UserFiles/Servers/Server_352698/File/Board/Medical%20Procedures/Form-311-B%20Epilepsy%20Plan%20of%20Care.pdf

https://www.limestone.on.ca/UserFiles/Servers/Server_352698/File/Board/Medical%20Procedures/Form-311-C%20Diabetes%20Plan%20of%20Care.pdf
https://www.limestone.on.ca/UserFiles/Servers/Server_352698/File/Board/Medical%20Procedures/Form-311-D%20Asthma%20Plan%20of%20Care.pdf

https://www.limestone.on.ca/UserFiles/Servers/Server_352698/File/Board/Medical%20Procedures/Form-311-E%20Anaphylaxis%20Plan%20of%20Care.pdf
SUPPLEMENTAL FORMS
Click below for necessary supplementary forms needed including:
Form-314-A1: Authorization and Request for Administration of Prescribed Medication/Medical Procedures
https://www.limestone.on.ca/UserFiles/Servers/Server_352698/File/Students/Health%20&%20Wellness/Health%20Issues%20Handbook/Templates/Form-314-A1.pdf
Form-314-A2: Authorization and Request Form for the Administration of Prescribed Medication
https://www.limestone.on.ca/common/pages/DisplayFile.aspx?itemId=14182988
Form-314-A3: Authorization and Request Form for the Administration of an Epi-Pen
https://www.limestone.on.ca/UserFiles/Servers/Server_352698/File/Students/Health%20&%20Wellness/Health%20Issues%20Handbook/Anaphylaxis/Form-314-A3.pdf
Form-314-B1: The Administration of Medication and/or Medical Procedures to Students: Record of Procedures
http://www.limestone.on.ca/common/pages/DisplayFile.aspx?itemId=1503145
Form-314-B2: Medical Procedures Form
http://www.limestone.on.ca/common/pages/DisplayFile.aspx?itemId=1503147
Form 314-D3 Emergency Medical Alert Form
https://www.limestone.on.ca/UserFiles/Servers/Server_352698/File/Students/Health%20&%20Wellness/Health%20Issues%20Handbook/Templates/Form-314-D3.pdf
Thank you!