Holly McCormack, RN, MSN, District Health Aide
hmccormack@mariemontschools.org

Medical Forms for Parents

The Medication Administration Form must be completed  by a parent and physician for any medication to be distributed during school hours, including over the counter medication, creams, drops, etc. 

• District Medication Administration Form

 Click below if your child will be carrying the following medications: Parent and Physician to complete forms.

• Asthma Inhaler Form
• Epi-Pen Form

Click below if your child has a health condition which may require a health plan:

• Food Allergy Action Plan
• Asthma Action Plan
• Diabetes Forms (CHMC Link)

Lice Information:

• Head Lice Education: 

          Is it Lice? (video must be downloaded to play)   Lice Removal Checklist    
 Head Lice Information     Additional Head Lice Information       Facts of Lice       Head Lice Treatment 

Immunization Requirements for school age children:

• Immunization requirements  2010-11

• Immunization requirements 2011-12

• MCSD Immunization exemption form

School Health:

• School Health Exam Record

• Physician's Report (one page)

• Dentist’s Report (one page)

Click below links for information

• AED Defibrillator Video

• How To Use EpiPen^® (Epinephrine)