Diabetes Form

  • For students with diabetes.
    In anticipation of your student’s diabetes-related needs for the upcoming school year, below is a “Diabetes Orders” form for your student. Your student’s treating physician must complete this form prior to the first day of school. Please remember to sign the parental indemnity portion on the second page of the form.

    Parents must provide the necessary medical supplies/snacks before the first day of school. This is necessary to provide a safe school environment for your student. The supplies listed on the below list may be dropped of at the Health Office during registration.

    With the proper authorization, we will administer Glucagon for severe hypoglycemia resulting in unconsciousness and/or seizure only. The paramedics will be called if Glucagon is administered.

    Please contact the nurse at your student’s campus if you have any questions.