Clinic / Parent Information

Parent Clinic Information

American Lung Association Self-Carry, Self-Administer Assessment Tool

(online assessment tool) to determine if your student is ready to self carry

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Asthma Action Plan

This form is critical in addressing onset of symptoms quickly and efficiently. Asthma control can change quickly- everyone needs to be on the same page (home and school)

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Asthma Parent Information Self Carry Inhaler

Information on the process for students with asthma to self-carry per Texas Law

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Diabetes: Authorization for Self Management

This form is required for diabetic students who have physician authorization to self-manage while at school or at school-related activities.

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How to avoid the September Asthma Peak

Asthma flares requiring a hospital or ER visit tend to spike in early-to-mid September. Why does it happen? How to be proactive and preventive to avoid a flare?

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Allergy Action Plan

To be used for all students with severe allergic reactions who will have emergency medication (for example, Epi Pens or Benadry) in the clinic.

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NEISD Authorization to Self-Carry and Student Agreement

This form is required for students to self carry inhaler on campus.

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Parent handout of Self-Carry Assessment Tool

Self Carry is the Law: is your 5th grade child ready to self carry?

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School Meal Modification Form 2023-24

Meal Modification Request

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Seizure Action Plan

This form is required for all students with a seizure disorder who may require emergency medication at school or at school related activities.

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Diabetes Treatment Plan

This form is required for all diabetic students who will need nursing care or supervision of their diabetes throughout the school day and at school related activities.

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Medication Policies

Please keep the following guidelines in mind when bringing medications:

Medication will not be accepted without the required physician/parent authorization. For general medication to be given at school, a physician signed Medication Administration Request Form is required (found below). If your student will need medication on a short-term (10 school days or less) basis, please contact your campus nurse for more information.

All medication must be in the original prescription or over-the-counter container. Medication brought to the clinic in containers such as, but not limited to, plastic wrap or bags, foil, jars, paper towels, envelopes, etc. will NOT be administered. ALL medications shall be delivered to and kept in the school clinic. Medications may not be kept in the classroom or administered by a teacher in the classroom.

Medication/Treatment Request Forms

Medication Administration Request Form

Clinic Procedure & Treatment Request Form

Parent Clinic Information