Forms

OCDSB Forms

Medical Forms

OCDSB 285 Self Admin Oral Med Authorization

(students are authorized to administer their own medication)

OCDSB 286 Admin Oral Med Authorization

(staff is required to administer or supervise the administration of oral mediation)

OCDSB 405 Use Of EpiPen

OCDSB 616 Severe Life Threat Allergy Protocol Registration

OCDSB 802 Serious Medical Conditions Protocol Registration

OCDSB 902 Diabetes Emergency Treatment Protocol Registration

OCDSB 963 - Plan of Care for Students with Life-Threatening Medical Conditions

Medical Condition

Form
802




Form
616

Must be signed by Allergist or Physician

Form
405

Must be signed by Allergist or Physician

Form
286

Must be signed by Allergist or Physician

Form
285

Must be signed by Allergist or Physician

Form
902




Form
963

 

 

Anaphylaxis

 

✔️

✔️

✔️
(If providing Benadryl)

     ✔

Asthma

✔️

   

✔️

✔️

(If the student has permission to carry puffer in backpack and self-administer)

   ✔

Diabetes

✔️

       

✔️

 ✔

Epilepsy

✔️

   

✔️
(If providing medication)

     ✔

Other serious medical condition

✔️

   

✔️
(If providing medication)

     ✔


Parents are strongly encouraged to provide a Medic Alert bracelet for students with serious medical conditions. This service is free of charge for school-aged children ages 4 to 14. Please contact the Vice-Principal for more information.