Medical Information and Forms

Foods not to be taken to school due to life threatening allergies include:

• Mango

• Nuts of any kind

• Shellfish

• Fish

• Peas and other legumes

• Visible eggs such as those in a sandwich or a boiled egg. Please be careful not to prepare or purchase this food. For example, Tim Horton’s egg sandwiches are not permitted. Thanks.

If your child requires medical forms, has anaphylactic allergies or has diabetes, please print and compete the necessary forms below. Please bring these forms on the first day of school, along with any medications that the school may be required to administer.

Medication Forms: Required for all medications, including over the counter medication. Both sections of Form A are required for all medications. Form D can be completed in certain circumstances for self-administration of medication, but please confirm this with the school. Forms B and C are not required and are for school use only.

https://www.nlesd.ca/includes/files/policies/doc/1565872305824.pdf

Anaphylaxis Information and Forms: Pages 13-17 include the form that must be completed and are specific to the emergency plan. Please note the medical forms A and D above are also required.

https://www.nlesd.ca/includes/files/policies/doc/1504807706542.pdf

Here is the form for the Emergency Plan that includes the picture:

https://foodallergycanada.ca/wp-content/uploads/Anaphylaxis-Emergency-Plan_October-2020_a.pdf

Diabetes Information and Forms: Pages 14-20 include the form that must be completed and are specific to the emergency plan. Please note the medical forms A and D above are also required.

https://www.nlesd.ca/includes/files/policies/doc/1504807743198.pdf

District Policy and Regulations: Here are also the links to the district policy and regulations for the administration of medication for your further reference:

https://www.nlesd.ca/includes/files/policies/doc/1456153685750.pdf

https://www.nlesd.ca/includes/files/policies/doc/1565872165703.pdf

NOTE: It is important to recognize that medical information where appropriate will be shared with staff, including bus drivers. Pictures of students with anaphylaxis will be posted for staff only to view in the office area.

Please let the school know if you have any questions.