Glenbard Township High School District 87
Exhibit – Emergency Medical Information for Students Having Special Needs and/or Medical Conditions Who Ride Special Needs School Buses
The purpose of this form is to give school bus drivers and/or emergency medical technicians information about children who have special needs or medical conditions. One copy of this form is kept in the nurse’s office, and another copy is kept on the student’s school bus in a secure location for bus drivers and emergency medical technicians. If the emergency care of the student requires medication, the parent/guardian must file a School Medical Authorization Form with the school nurse.
To be completed by the student’s parent/guardian:
My child's special needs are: (list behavioral or communication challenges and required responses)
My child's requires medication for: (describe conditions and circumstances)
ADOPTED: March 24, 2015