Medical Conditions

Medical Condition Forms
Posted on 09/10/2025

Please read the information below with regards to Medical Conditions. If you have a child who already attends St. John Henry Newman and requires medication to be given to the school, please ensure the school has current (not expired) paraphernalia. For new students or new diagnoses, if one of these conditions pertain to your child, please access the appropriate forms attached and see below for additional information.

 

Reports of Students with Medical Conditions

To promote the safety and well-being of students with prevalent medical conditions (Anaphylaxis, Asthma, Diabetes, and/or Epilepsy), parents and/or guardians are encouraged to confirm annually to the Principal or Principal's designate if a student's medical status has changed by completing and submitting appropriate forms. These forms are available in the Main Office and are posted on the school website. 

 

Please feel free to forward any questions and/or concerns to the school administrative team. 

 

Medical Conditions- Diabetes

To promote the safety and well-being of students with prevalent medical conditions – Diabetes, parents and/or guardians are encouraged to confirm annually to the Principal or Principal's designate the student's medical status by completing and submitting appropriate forms.

These forms are attached to this email, available in the Main Office and are posted on the school website. 

 

If your child has this medical condition please download the forms, fill them out and have your child return the signed forms to the main office.

 

Annual Parent Guardian Request and Consent for Diabetes Intervention.pdf 

Individual Diabetes Plan of Care.pdf 

 

If your child takes the school bus and has a medical condition, please fill the form below out and email to transportation.

 

School Bus Transportation Emergency Action Plan Template.pdf 

 

Medical Conditions- Asthma

To promote the safety and well-being of students with prevalent medical conditions – Asthma, parents and/or guardians are encouraged to confirm annually to the Principal or Principal's designate the student's medical status by completing and submitting appropriate forms.

These forms are attached to this email, available in the Main Office and are posted on the school website. 

 

If your child has this medical condition please download the forms, fill them out and have your child return the signed forms to the main office.

 

Authorization for Administration of Medication for Asthma Parent Form Annual Completion .pdf 

Individual Asthma Plan of Care.pdf 

Physician Authorization for Asthma Management – use only when condition is new or interventions have changed (1).pdf 

 

If your child takes the school bus and has a medical condition, please fill the form below out and email to transportation.

 

School Bus Transportation Emergency Action Plan Template.pdf 

 

Medical Conditions- Anaphylaxis

To promote the safety and well-being of students with prevalent medical conditions – Anaphylaxis, parents and/or guardians are encouraged to confirm annually to the Principal or Principal's designate the student's medical status by completing and submitting appropriate forms.

 

These forms are attached to this email, available in the Main Office and are posted on the school website. 

 

If your child has this medical condition please download the forms, fill them out and have your child return the signed forms to the main office.

 

Secondary - Annual Parent Guardian Request and Consent for Allergy Anaphylaxis Intervention.pdf 

Secondary - Individual Allergy Anaphylaxis Plan of Care.pdf 

Secondary - Physician Authorization For Administration of Allergy Anaphylaxis Medication- use only when medication is initiated or changed.pdf 

 

If your child takes the school bus and has a medical condition, please fill the form below out and email to transportation.

 

School Bus Transportation Emergency Action Plan Template.pdf 

 

Medical Conditions- Epilepsy

To promote the safety and well-being of students with prevalent medical conditions – Epilepsy, parents and/or guardians are encouraged to confirm annually to the Principal or Principal's designate the student's medical status by completing and submitting appropriate forms.

These forms are attached to this email, available in the Main Office and are posted on the school website. 

 

If your child has this medical condition please download the forms, please fill them out and have your child return the signed forms to the main office.

 

Annual Parent Guardian Request and Consent for Epilepsy Intervention.pdf 

Individual Epilepsy Plan of Care.pdf 

Physician Authorization for Epilepsy Management - use only when condition is new or interventions have changed.pdf 

 

If your child takes the school bus and has a medical condition, please fill the form below out and email to transportation.

 

School Bus Transportation Emergency Action Plan Template.pdf 

 

Please feel free to forward any questions and/or concerns to the school administrative team. 

 

Thank you in advance for your cooperation.

Click Here for Medical Condition Forms