Links to Medical Forms
On this page you will find links to medical forms you may need if your child has severe allergies, asthma, seizures, diabetes, or requires medication to be given at school. Please remember all forms and signatures must be filled out completely or they will be returned.
FOR EACH NEW SCHOOL YEAR, THE EARLIEST THE DATE THE FORM CAN BE FILLED OUT IS JULY 1. For example, medical forms for the 2024-25 school year must be dated after July 1, 2024
**ALLERGIES & ANAPHYLAXIS
This link will take you to an allergy action plan provided by FARE (Food Allergy Research & Education, a form with a waiver of liability for a delegate, and a self-administration form.
The FARE form is the form accepted for anaphylaxis protocol and autoinjectable epinephrine by the district.
If your child requires a delegate to administer epinephrine, the delegate waiver form must be filled out. If you bring in your child's medication without the proper forms, the medication will be sent back home.
**LUNCHROOM SEATING
Beginning with the 2024/2025 school year, MTPS will be implementing a change to the processes in place for students with nut allergies in the lunchroom. Students with nut allergies will no longer be required to sit at a nut-free table. Instead, all students will be permitted to sit with their classmates in the lunchroom unless a parent/guardian fills out an opt-in form indicating that they would prefer their child be seated at a nut-free table.
If your child has a nut allergy and you would like to have him/her sit at a nut-free table, please fill out the following opt-in form for the nut-free table. While the school will do its best to keep nuts away from the table, please understand that no area can be guaranteed to be completely nut-free at all times. Therefore, please remind your child to not share food and to alert a staff member if he or she is feeling unwell.
** ASTHMA
This form provides important asthma treatment information to school medical personnel so that an appropriate
individualized health care plan is in place during the time the affected student is in the school environment. Please
remember signatures by both parent and physician are required in the appropriate places.
**SEIZURES
These forms provide important seizure treatment information to school medical personnel so that an individualized health care plan can remain in place for your child if the need occurs within the school environment.
** MEDICATION IN SCHOOL
This form grants permission to the appropriate school personnel to administer medication to a student during school hours. Please remember, medications MUST be brought in by a parent. Medication can be given to the staff in the main office. They must be in their original containers and have the child's full name and teacher on them. Please do not send in expired medication. Any medication brought in without the appropriate paperwork will be returned until completed.