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Franklin County Schools

Dedicated to Excellence in Education

Forms and FAQs

FCS Allergy Management Form (Epi-Pen order)

(Accessible Version Page 1)

(Accessible Version Page 2)

FCS specific AAP_Allergy_and_Anaphylaxis_Emergency_Plan.pdf 1.11 MB (Last Modified on June 11, 2018)

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Elementary School Medication Authorization Form (medication order form)

(Accessible version)

FCS medication authorization form - Elementary level.pdf 502.33 KB (Last Modified on January 17, 2020)

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Middle and High School Medication Authorization Form (medication order form)

(Accessible Version)

FCS medication authorization form - Middle and High School Level.pdf 504.18 KB (Last Modified on January 17, 2020)

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Over the Counter Medication Form (Grades 6-12)

(Accessible Version)

Self Administration of Over the Counter Medication - revised 10-17.pdf 113.18 KB (Last Modified on March 3, 2022)

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Diet Order form for Students with Unique Mealtime Needs

Medical Statement for Unique Mealtime Needs.pdf 690.82 KB (Last Modified on January 8, 2019)

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Health History Form

Parents of all students newly enrolling in FCS need to complete this form.

Health History form.pdf 211.04 KB (Last Modified on January 8, 2019)

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Specialized Healthcare Procedures Form

Form to be completed by a licensed health care provider for any specialized medical procedure (tube feeding, catheterization, etc.) needed during school hours.

Physician and Parent Authorization for Specialized Healthcare Procedures.pdf 108.81 KB (Last Modified on January 8, 2019)

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Return to School Following Surgery or Extended Illness - Physician Authorization Form

(Accessible Version)

Return to school authorization form following surgery or extended illness.pdf 192.57 KB (Last Modified on June 8, 2018)

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Student Medical Absence Form

(Accessible Version)

absenceform.pdf 941.47 KB (Last Modified on April 21, 2017)

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When to Keep Your Student at Home

(Accessible Version)

School Health Services Guidelines for Exclusion 5-2019.pdf 346.56 KB (Last Modified on May 21, 2019)

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