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Laurel Public Schools

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Dedicated to the individual development of each student, every day, without exception

Students with Asthma and Allergies

 

All medical forms must be renewed before the start of each school year and with any dosage changes. If your child has mild allergies and you would like over-the-counter allergy medication available to your child, please see the “Prescription & Over-the-Counter Medication Forms” tab. For more severe allergies, please review forms below. 


 

Parent/Guardian & Healthcare Provider form: Asthma Care Plan

If your student has asthma, please sign and give this form to your child’s healthcare provider to complete and return to your child’s school. 

Asthma Care Plan


 

Parent/Guardian & Healthcare Provider form: Montana Authorization to Carry and Self-Administer Asthma & Allergy Medication 

Use this form if your child carries an inhaler or epinephrine autoinjector in their backpack. Per Montana Code Annotated 20-5-420, parents/guardians are required to provide the school with a second epinephrine auto-injector, which will be kept in an accessible location in the school. Return completed and signed form to your child’s school. 

Consent to Carry and Administer Asthma & Allergy Medication

If your child has an epinephrine autoinjector, please complete the FARE Food Allergy & Anaphylaxis Emergency Care Plan or the Emergency Care Plan for Bee Stings. Both forms are listed below. 

If your child needs their inhaler stored in the office and given with assistance/supervision, please see the tab titled “Prescription & Over-the-Counter Medication Forms”, and use the first medication form listed. 


 

Parent/Guardian & Healthcare Provider form: FARE Food Allergy & Anaphylaxis Emergency Care Plan

Please complete and sign this form if your child has a food allergy and prescribed epinephrine autoinjector. Your child’s healthcare provider should also complete and sign this form. Return completed and signed form to your child’s school. Please note there are two parts to this form. 

Anaphylaxis Emergency Care Plan Part 1

Anaphylaxis Emergency Care Plan Part 2

 

If your child carries an epinephrine autoinjector in their backpack, you must also complete the Montana Authorization to Carry and Self-Administer Asthma & Allergy Medication form. This form is listed above. 


 

Parent/Guardian & Healthcare Provider form: Emergency Care Plan for Bee Stings

Please complete and sign this form if your child has a bee sting allergy and prescribed epinephrine autoinjector. Your child’s healthcare provider should also complete and sign this form. Return completed and signed form to your child’s school. 

Bee Sting & Allergy Emergency Care Plan

If your child carries an epinephrine autoinjector in their backpack, you must also complete the Montana Authorization to Carry and Self-Administer Asthma & Allergy Medication form. This form is listed above.