FORMS

MEDICATIONS

If your child requires a prescription or over the counter medication (see medication policy) while at school, this form must be signed and sent to the school prior to giving the child the medication. You may have your health care provider fax the form to the school.

OTC Medication Authorization

Prescription Medication Administration Form

Montana allows a student to carry their own asthma inhaler or EpiPen when appropriate. Use this form and have it signed by a health care provider.

MT Authorization to Self Administer

 CONCUSSIONS

All students in grades 7-12 will be offered baseline ImPACT Neurocognitive Concussion Screening test. This is a baseline test and is designed to measure your student's short and long-term memory, visual motor speed and reaction time. In the event that your student suffers a perceived concussion, this baseline test may be used to determine the degree of impairment suffered as a result of the concussion. 

All tests are maintained on a secure server at ImPACT and the School Nurse will have access to the tests and will work with your student's healthcare provider, should the need arise.  Access will only be for the treatment of your student's perceived concussion. 

 ImPACT testing consent

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