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CCHS Student Health Services Staff & Information

CCHS Medication Guidelines

Cypress Creek High follows the Pasco County Schools Guidelines for Administering Medication at School.  

According to District School Board of Pasco County Policy 5335, students who receive medication, health procedures or have special dietary needs at school shall provide annual parental and healthcare provider authorization for the administration of medications and procedures.

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.

Allison Heck, RN

Allison Heck, RN

School Nurse

Elena Herrera

Elena Herrera

High School Clinic Assistant

Healthy Student Application

for other-the-counter medication administration in the clinic

Medication Administration Authorization Form 

for prescription medication that needs to be administered daily during school hours

Food & Nutrition Special Request Form

Self Carry Form for Severe Allergy

Self-Carry Form for Pancreatic Enzymes

Seizure Questionnaire & Medical Management Plan

Self Carry Form for Asthma

Diabetes Management Plan

Severe Allergy Management Plan