Student Health

• Fever above 100.4° Fahrenheit (38° Centigrade) and other symptoms or behavior changes
• Rash: unexplained or accompanied by fever
• Vomiting within last 24 hours
• Diarrhea within last 24 hours
• Skin sores that are draining and unable to be covered with a bandage
• Respiratory virus symptoms (cough, congestion, sore throat, headache, breathing difficulties) that are worsening or not improving
• Abdominal Pain that continues for more than 2 hours or intermittently with additional symptom

The following plans of care must also include a Medication Administration Authorization (MMA) form:

• Allergy Plan of Care
• Asthma Plan of Care
• Diabetes Plan of Care
• Seizure Plan of Care

All documents must be signed by a parent and physician and are only acceptable for one school year. New documents must be submitted at the beginning of each school year moving forward.

1. Click on the Plan(s) of Care that your child needs.
2. Include MMA form if medication is a part of plan of care
3. Download the document.

4. Complete each required form, including parent signature and date.

5. Obtain physician’s signature for each plan of care and MAA form.

6. Print and bring the completed document(s) to school or scan and email to your building’s office staff (elementary) OR dean of students (secondary).

7. Contact Lorie Kaul with any questions regarding POC forms or requirements. lbkaul@clarkston.k12.mi.us 248-623-5434

• Medication Administration Authorization single medication
• Medication Administration Authorization multiple medications
• Allergy Plan of Care
• Asthma Plan of Care
• Diabetes Plan of Care
• General Medical Plan
• Seizure Plan of Care
• Topical Over the Counter Products
• Tube Feeding Order Form
• Urinary Catheterization 

Allergies & Asthma:

Concussions:

Diabetes:

Mental Health:

Seizures:

Michigan Department of Health & Human Services

Oakland County Community Health

Tips to Support Healthy Routines for Children and Teens

CDC