Student Health Forms
For students with specific medical needs, forms below are provided for your convenience. New forms must be completed and submitted to your school nurse each academic year.
Allergies
Food Allergy Action Plan (action plan required for students with epinephrine orders)
Family Food Allergy Health History Form
Allergy Action Plan Non-Food (action plan required for students with epinephrine orders)
Request for Food Allergy Information
Request for Dietary Accommodations
Dietary Accommodations Discontinuation Form
Asthma
Asthma Parent Questionnaire - English/Spanish
Diabetes
Diabetes Management Procedural Guideline
Diabetes Management and Treatment Plan
Diabetes Transportation Emergency Plan
Guidelines for Student Independent Diabetes Monitoring and Treatment at School
Physician’s Authorization for Student Independent Diabetes Monitoring and Treatment at School
Fort Bend ISD Continuous Glucose Monitoring Waiver
Health Information Update
Health Information Update Form
Medication
Parent-Physician Permission to Administer Medication Form
Permit to Carry and Self-Administer Asthma and Anaphylaxis Emergency Medication (secondary students)
Seizure Disorder