For students who have a medical or health concern that may require special attention while they are at school.
For medication given or taken at school, the Authorization Release form must be completed (one form for each medication). Over- the-counter treatments, such as Advil, Aleve, Ibuprofen, Tylenol, Midol, antacids…all require an Authorization Release and must be kept in the Health Office. If your student wishes to carry the medication or over-the-counter treatment, he/she is limited to one day's dosage and it must be in its original container. In this case, a High School Self-Carry form must be completed. This is a contract (agreement) signed by the student, parent, doctor and PHS Administration.
HEALTH CARE ACTION PLAN (HCAP) forms
In addition to the Medical Permission forms, there are more specific forms that address your student's needs. Please select the one or more that apply. Use the Basic HCAP form for others.
In addition to the Medical Permission forms, there are more specific forms that address your student's needs. Please select the one or more that apply. Use the Basic HCAP form for others.
Authorization
Release
Release
Basic HCAP
Allergies
Epipen
Migraine
Seizure
High School Medication
Self-Carry Authorization
Self-Carry Authorization
For Diabetes Call Office
Asthma
Inhaler
Health Forms
MEDICATION PERMISSION forms