Medical Forms

New and returning students with life threatening medical conditions are required to have the appropriate paperwork completed and delivered to the main office.


OCDSB 285 - Self Admin Oral Med Authorization

(students are authorized to administer their own medication)


OCDSB 286 - Administration of Oral Medication Authorization

(staff is required to administer or supervise the administration of oral mediation)


OCDSB 405 - Emergency Use of Auto-Injector Authorization (EpiPen)


OCDSB 616 -
Severe, Life Threatening Allergy Protocol Registration

OCDSB 802 - Severe Medical Conditions Protocol Registration

OCDSB 902 - Diabetes Emergency Treatment Protocol Registration

 

Medical Condition

Form 802




Form 616


Must be signed by Allergist or Physician

Form 405


Must be signed by Allergist or Physician

Form 286


Must be signed by Allergist or Physician

Form 285


Must be signed by Allergist or Physician

Form 902




Anaphylaxis


️ (If providing Benadryl)



Asthma



(If the student has permission to carry puffer in backpack and self-administer)


Diabetes





Epilepsy



️ (If providing medication)



Other serious medical condition



️ (If providing medication)




Parents are strongly encouraged to provide a Medic Alert bracelet for students with serious medical conditions. This service is free of charge for school-aged children ages 4 to 14.

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