Medical Forms

Student Medical Forms

Emergency Action plans and all accompanying medication are before the start of the school year.  Please call the Main Office with questions.

773-522-0023


Hard copies are available in the Main Office
JPEG or PDF forms can be emailed to rnavarrete@ourladyoftepeyac.org

 

Medication Authorization Form

 

 

 

  

 

Diabetes Orders

 

Asthma Action Plan

 

 

  

Anaphylaxis Action Plan

 

Food Allergy Action Plan

Seizure Action Plan