Charles P. Allen High School

Medical Forms for Students with Severe Medical Conditions

All parents/guardians are required to fill out these forms if applicable. It is important for school staff and administration to be aware of any medical emergency information. These forms are available on our school website in the parent section under documents and forms.  If applicable, you will be required to fill out the following linked forms and submit them either to the main office, or email

Administration of Medication to Students

Form A    Administration of prescribed medication to students
Form B    Administration of prescribed Medication Record

Severe Medical Conditions Include:       
Diabetes Plan    
Seizure Plan  
Heart Condition    
General Plan
Tube Feeding Procedure Plan
Catheterization Procedure Plan
Medical Procedure Tracking Form
Anaphylaxis Emergency Plan