Franklin High School

FHS Health Office Medical Forms for Parents and Staff

Forms attached for Parents:

1. Allergy and Anaphylaxis Emergency Plan

2. Asthma Treatment Plan - Student

3. Seizure Action Plan (SAP)

4. Universal Child Health Record

5. Health History Appraisal

6. Parent Letter for OTC Medication

7. Authorization for OTC Medication

8. Authorization for Administration of Epinephrin Delegate

9. Request for Doctor's Note for gym excuse/clearance

10. Zufall Health Information

Forms attached for FHS Staff:

Please see below updates/reminders regarding health emergencies and implications and reach out to Nurse Stryker and the health office team should you have any questions.

1. Medical Checklist for Field Trips

2. Hands Only CPR (Fact Sheet)

3. Cardiac Emergency Response Protocol