Medication, Health Procedures & Dietary Needs
At Cypress Creek High School, student health and safety are a priority. The school follows all Pasco County Schools guidelines for administering medication and health-related procedures during the school day.
In accordance with District School Board of Pasco County Policy 5335, any student who requires medication, health procedures, or has special dietary needs while at school must have annual authorization on file. This authorization must be completed by both the student’s parent/guardian and healthcare provider before medication can be administered or health services can be provided on campus.
Parents are encouraged to review the district requirements and submit all necessary documentation prior to the start of the school year or whenever a student’s medical needs change. This helps ensure that students receive the support they need while maintaining compliance with district policies and procedures.
Elena Herrera
Clinic Assistant
eleherre@pasco.k12.fl.us
If your child plans to carry his/her own supplies and/or perform any of the below medical procedures independently without supervision during the school year:
- Please return the Authorization to Carry and Self Administer Diabetes Medication/Procedure, Asthma Inhaler, EpiPen, Pancreatic Enzyme Supplement form signed by physician, parent and student on or before the first day of school.
- Please make sure your child carries all necessary supplies (Diabetes equipment or medication, Inhaler, Epipen, and/or Pancreatic enzyme supplement) at all times.
If your child may/will require assistance with administration of medication and/or procedures at any time during the next school year:
- Depending on your child’s condition, please return the Severe Allergy (Anaphylaxis), Seizure, Diabetes Medical Management Plan form (found below) completed and signed by you student’s physician AND parent on or before the first day of school.
- Please return the Authorization for Medication Administration form for any medication that will need to be administered to your child on or before the first day of school. This form should be completed and signed by parent.
- Please provide the school clinic with all necessary supplies. Remember that medication must be brought to school by the parent/guardian, NOT THE STUDENT.
If your child may/will require assistance with special dietary needs during the next school year:
Please submit completed FNS Request and Severe Allergy (Anaphylaxis) Medical Management Plan forms. The FNS Request Form will be reviewed by the Food & Nutrition Services District Office on a case-by-case basis. Since school sites are not allergen free facilities, it may be beneficial to send a meal from home for the first few weeks of school.
While not all students’ requests will be accommodated, our online menus identify common allergens and carbohydrate/nutrient information to assist you and your child in navigating their meal options. You can access this helpful tool online at Meal Viewer or download the mobile app on your smartphone or tablet.
Important Links
Here is some additional information and resources to help support your student. Please reach out directly to our School Nurse if you have any questions or concerns.
- Healthy Student Application – This form will allow your student to receive over-the-counter medication in the clinic
- Medication Administrative Authorization Form – This form is for prescription medications that needs to be administered daily during school hours
The following forms are meant to help students and parents/guardians develop medical management plans to help support them while at Cypress Creek High School.
Asthma
- Asthma Management Plan
- Self Carry & Administer Asthma Inhaler, Epi-Pen, and/or Pancreatic Enzyme Supplement
Allergies
Diabetes
Seizures:
If your student has specific dietary needs, you may complete Food and Nutrition Special Request Form.
