If Your Child Has Medical Needs
Supplementary Medical Forms
Must be updated every Fall Semester
If your child has a chronic illness/allergy (i.e. Food allergies, asthma, bee stings, etc.) or needs to take medication please complete the following forms along with your health care provider.
This includes if your child has a milk intolerance
| Forms (On going Medical Conditions) | Directions |
|---|---|
| DHS 908 Early Childhood Pre-K Health Record Supplement | To be completed by the doctor |
| Chronic Illness/Allergies Health Record | To be completed by the doctor |
| Policy for Milk Intolerance |
| If your child needs to take medication please complete the following form: | Directions |
|---|---|
| Medical Authorization Form | To be completed by parent |
| If your child needs an EPI PEN please complete the following forms: | Directions |
|---|---|
| UHMCC Food Allergy & Anaphylaxis Emergency Action Plan Form | To be completed by the doctor |
| DHS 908 Early Childhood Pre-K Health Record Supplement | To be completed by the doctor |
| Chronic Illness/Allergy Health Record | To be completed by the doctor |