Administration of Epinephrine
If your child has a life threatening allergy and may require the administration of Epinephrine and/or Benadryl while at school, the following forms (all 5 tabs) are required.
Medication will not be accepted in the nurse’s office without the proper completion of the below forms. All medication must be in the original containers. Epipens should not be expired and must have a prescription label which matches the doctor's order.
*Cherry Hill Public Schools- Management of Life-Threatening Allergies in School Policy
If your child has a life threatening allergy and may require the administration of Epinephrine and/or Benadryl while at school, the following forms (all 5 tabs) are required.
Medication will not be accepted in the nurse’s office without the proper completion of the below forms. All medication must be in the original containers. Epipens should not be expired and must have a prescription label which matches the doctor's order.
*Cherry Hill Public Schools- Management of Life-Threatening Allergies in School Policy

anaphylaxis/food allergy plan | |
File Size: | 629 kb |
File Type: |

epipen unlicensed personnel form | |
File Size: | 26 kb |
File Type: |

epipen order delegate form | |
File Size: | 64 kb |
File Type: |

administration of epinephrine form | |
File Size: | 73 kb |
File Type: |

medication administration form | |
File Size: | 15 kb |
File Type: | docx |