Individual Health Plans
Individual Health Plans
For students who have a life-threatening health condition
Your child’s health is important to us. Examples of life-threatening health conditions may include asthma, allergies, diabetes, convulsions/seizures, and bee sting reactions. Students with a life-threatening health condition are in danger of death during the school day if a medication or treatment order, providing authority to a registered nurse to act upon a nursing plan, is not in place.
By law, a nursing plan and medication or treatment order from your student’s licensed healthcare provider must be in place each year before your student starts school. Students who have a life-threatening health condition and no medication or treatment order presented to the school shall be excluded from school, according to School Board policy, consistent with federal IDEA Section 504 requirements and Washington State Law.
Please use the individual health plan form that corresponds to your child's condition below. Contact your child's school nurse for further information and health plan creation in order that he or she may start school in a timely manner.
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.pdf2023-06-28Gastrostomy Tube Procedure
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.pdf2023-06-28Individual Student Record for Dispensing Medication
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.pdf2023-06-28Referencia De Examen De La Vista
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.pdf2023-06-28Vision Screening Referral English
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.pdf2023-06-28Seizure Care Plan
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.pdf2023-06-28Request for Home Hospital Instruction
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.pdf2023-06-28Life Threatening Allergy
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.pdf2023-06-28Gastrostomy IHP Care
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.pdf2023-06-28Gastrostomy Feeding Skills Checklist
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.pdf2023-06-28Diabetic Low Blood Sugar Individual Health Plan
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.pdf2023-06-28Diabetic Insulin Dependent 504 Plan
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.pdf2023-06-28Encopresis Enuresis Individual Health Plan
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.pdf2023-06-28Exclusion Letter for LT Conditions
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.pdf2023-06-28Head Bump Letter
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.pdf2023-06-28Health Summary
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.pdf2023-06-28Hearing Referral
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.pdf2023-06-28Concussion Individual Health Plan
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.pdf2023-06-28Condition Specific Care Plan
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.pdf2023-06-28Asthma Individual Health Plan
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.pdf2023-06-28Authorization for Release of Protected Health Information
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.pdf2023-06-28Cardiac Individual Health Plan
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.pdf2023-06-28G-Tube Care Plan
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.pdf2023-06-28Request for Special Dietary Accommodations
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.pdf2023-06-28Medication at School Form