Emergency Form Information

  • Every school must have an Emergency Form for each student. This Emergency Form informs the parent that care and treatment of a students illness or injury will be rendered by the school nurse during the school day.  The emergency form gives permission to transport a student to a medical facility and receive treatment during the emergency from Emergency Medical Services and the Medical facility.  A parent or guardian must complete and sign each form.  A new form must be updated and signed for each student annually.

    The emergency form has the location and phone numbers of the parent(s)home, employment, and the names addresses, and telephone numbers of emergency contact persons in case the parent(s) cannot be reached.

    Parent permission to administer acetaminophen, ibuprofen (middle and high school), and antacid is also indicated on this card.

Emergency Form File