- Cumming Elementary
- Health Forms
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This page contains health forms for your convenience. Please assure that they are filled out, signed and dated by your physician. If you would like to have medications stored at school, you must bring and sign them in with me in the clinic. No child is permitted to handle medications. Feel free to contact me with any queries.
Authorization for Students to Carry a Prescription Inhaler, Epinephrine Auto Injector, Insulin, and Diabetic Supplies, or Other Approved Medication-English
Authorization for Students to Carry a Prescription Inhaler, Epinephrine Auto Injector, Insulin, and Diabetic Supplies, or other Approved Medication-SpanishFood / Insect Allergy Action Plan - English
Food / Insect Allergy Action Plan - Spanish
Individualized Health Care Plan
Information for School Management of Diabetes Mellitus
Parent Request and Authorization for Specialized Healthcare
Parent Request for Physician's Orders
Questionnaire for Parent of a Student with Seizures
Request for Administration of Medication - English
Request for Administration of Medication Form - Spanish
