Forms

Please note that anything in italics has not been updated on our website.

Required Forms

Forms For Class Credit

Other Forms & Information

CCSD Links and Medical Forms

Keep copies of completed and signed forms for your records.

  • CCSD Doctor's Order Form ~ (Required to dispense Over the Counter Medication on Field Trips)
  • 2014-2015 After-Hours Medical and Extra-Curricular Consent Form
  • General Rules for Medications
  • Self Medicating and Self Monitoring
  • Parent Permission Form
  • Student Agreement Form

Diabetes

  • Insulin Sliding Scale Doctor's Order form
  • Insulin Ratio and Sliding Scale Doctor's Order form
  • Insulin Pump Doctor's Order form
  • Self-Medicating Student Agreement
  • Self-Medicating Parent/Guardian Permission

Asthma

  • Self Medicating Form
  • Self-Medicating Parent/Guardian Permission

The forms on this page are in Adobe Acrobat .PDF format and require the free Acrobat Reader to view. If not already installed on your computer you can download the software from http://www.adobe.com/