Health Services

Health Services Forms

CCS MEDICATION FORMS
Cystic Fibrosis Self Medication Authorization Form
Emergency Self Medication Authorization
Physician’s School Medication Form
Short-term Medication Form
Shunt Action Plan

CCS INDIVIDUAL STUDENT HEALTH CARE PLANS
Asthma Medication Plan
Diabetes Health Care Plan Rev. 08-2018
Physicians Health Care Orders for School
Seizures Care Plan Rev. 08-2018
Severe Allergy Medication Plan
Sickle Cell Action Plan

NORTH CAROLINA HEALTH ASSESSMENT
NC Health Assessment Transmittal Form January 2016rev
NC Health Assessment Transmittal Form Parent Sec SPANISH

MEDICAL STATEMENT FOR STUDENTS WITH UNIQUE MEALTIME NEEDS FOR SCHOOL MEALS
Medical Statement for Students with Unique Mealtime Needs for School Meals
Temporary Unique Mealtime Needs Request Form

Visit the CCS Child Nutrition website CCS Child Nutrition Special Diets and Food Allergies for information concerning special diets and food allergies.

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Published by Elizabeth Thompson on February 19, 2020
        

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