Clinic Forms

Please Click on the links:


Allergy/Anaphylaxis Medication Form:

MISD Allergy/Anaphylaxis Action Plan & Medication Authorization


Asthma Medication Form:

MISD Student Asthma Action Plan & Medication Authorization


General Over-the-Counter/Prescription Medication Form:

Authorization and Permission for Medication Administration


Seizure Action Plan/ Medication Form:

Seizure Action Plan


Diabetes Action Plan/Medication form:

Diabetes Medical Management Plan


Food Allergy/Disability Substitution Request Form:

The Child Nutrition Department will attempt to accommodate the substitutions as requested but reserves the right to modify the menu based on product availability.

Physician's Form - Food Allergy/Disability Substitution Request (pdf)

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