Medical Information Forms

Medical Information Forms
Posted on 08/30/2021

DEAR FAMILIES,                                                               August 31, 2021

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 kings@limestone.on.ca 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 2021-2022 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!