School Nurse Documents

Head Lice

Any allergy or anaphylaxis reaction needs this form filled out by doctor.

Any other health problem not listed with a form.

How to administer Baqsimi or powder glucagon.

School Personnel responsibility

Snack kit ideas

Field trips

Hypo-Hyper glycemia signs and symptoms.

Care plan for classroom teachers of Diabetic students

This form needs to accompany IHP plan.

This form is for Hypo/Hyper Glycemia.

This form needs to be filled out by the medical doctor. This is an order for insulin and other medical orders.

First aid Quick Guide

signs and symptoms of the flu vs the common cold.

Reasons to exclude students from school Quick reference.

When to send your child to school or not.

This link will take you to the StateID Website.  You will need to create an account and login to Utahid.  If they have any state assistance, or state job, etc. they may already have an account.  You will still have to complete the module to create an exemption for the child wishing to have immunizations exempt. This can be done for Preschool, Kindergarten - 6th grade and 7th-12th. 

Students taking medication at school must have a form signed by the doctor if they are under 6th grade.

If an error occurred please fill this form out.

Individualized health care plan. Emergency action plan

Seizure medication management order (SMMO)

Recording a seizure in your classroom. tips and tricks and record to record on.

Quick reference of signs and symptoms of Hyperglycemia and hypoglycemia.

If your child needs special accommodations for lunch or breakfast. complete this form

Form to opt out of routine yearly vision screenings.

If you suspect a vision problem. Please fill this out and notify your school nurse.