Jaggard Elementary

Medication Form

Use this for over-the-counter pain relievers, ADD/ADHD medications, cough/allergy medications, etc.

Do not use for asthma medication (inhaler/nebulizer) or Epipens

Link to General Medication Form

Anaphylaxis Emergency Plan (Epipen/Auvi-Q)

Forms for Epipen/Auvi-Q and Benadryl for students with life-threatening allergies (Anaphylaxis) to foods, insect stings, or other allergens.

BOTH the medication form and the Epipen delegate form must be completed.

Link to Epipen Medication Form
Link to Epipen Delegate Form

Asthma Treatment Form (Inhaler/Nebulizer)

Form for inhalers and/or nebulizer medication.

The school provides a nebulizer machine. Parents must provide the medication, tubing, and mouthpiece.

Link to Asthma Medication Form