Parental consent/release in writing is required and must be accompanied by:
- Signed physician authorization for self-management of asthma/anaphylaxis or self managment of diabetes at school.
- Current written medical management plan. The school can provide a form for your use.
- It is recommend you keep an extra supply of your child’s medications at school.
PARENT/GUARDIAN: By signing below, you acknowledge the following:
1. You are requesting that your child be allowed to self-manage his asthma, allergy, or diabetic condition at school.
2. You have confidence that your child has the knowledge and skills needed to self-manage his condition at school.
3. You understand that you are not required to make this request on behalf of your child. Your child may utilize the dean of students' office for asthma, allergy, and diabetic cares. Your child may request assistance from qualified school personnel at any time during the school day.
4. If your child injures school personnel or another student as a result of misuse of the condition's supplies, you shall be responsible for any and all costs associated with such injury.
5. The school and its employees and agents are not liable for any injury or death arising from a student's self-management of his or her asthma, anaphylaxis, or diabetic condition.
6. You will indemnify and hold harmless the school and its employees and agents against any claim arising from a student's self-management of his or her asthma, anaphylaxis, or diabetic condition.