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Moore Schools

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Health Services

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  • Medication Consent Form

    Medication Consent Form

    Moore Public Schools requires a medication consent form for medication to be given at school. This includes both prescription and non-prescription medications. If your child has an asthma, anaphylactic or diabetic medication that he or she may carry and self administer, please fill out the second page for permission to do so. Per Moore Public School Policy, we cannot administer herbal or homeopathic medication at school.

    2020 MPS Parent Medication Consent Form.pdf 125.29 KB (Last Modified on March 4, 2020)
    Comments (-1)
  • Immunization Exemption Form

    Immunization Exemption Form

    certificate-of-exemption.pdf 325.91 KB (Last Modified on July 26, 2021)
    Comments (-1)
  • Face Covering Exemption Form

    Face Covering Exemption Form

    Face Covering Exemption.pdf 104.24 KB (Last Modified on August 3, 2020)
    Comments (-1)
  • ADD/ADHD Plan

    ADD/ADHD Plan

    Use this plan if your child takes ADD or ADHD medication at school.

    ADD-ADHD IHP.pdf 88.98 KB (Last Modified on August 2, 2019)
    Comments (-1)
  • Allergic Reaction  Plan

    Allergic Reaction Plan

    Fill this form out if your child has an epi-pen at school.

    Allergy Action - IHP Plan 2018 Take 2.pdf 917.2 KB (Last Modified on August 2, 2019)
    Comments (-1)
  • Asthma Action Plan

    Asthma Action Plan

    Fill out this form if your child needs to have an inhaler at school.

    Asthma Action plan- IHP 12-2018 take 2.pdf 753.05 KB (Last Modified on August 2, 2019)
    Comments (-1)
  • Diabetic Medical Management Plan

    Diabetic Medical Management Plan

    Fill this form out if your child has diabetes. 

    Diabetes Plan.pdf 185.31 KB (Last Modified on August 1, 2019)
    Comments (-1)
  • Seizure Action Plan

    Seizure Action Plan

    Fill this form out if your child has been diagnosed with a seizure disorder.

    Seizure Action plan IHP Take 2.pdf 618.36 KB (Last Modified on August 2, 2019)
    Comments (-1)
  • Sickle Cell Emergency Plan

    Sickle Cell Emergency Plan

    Complete this plan if your child has sickle cell.

    Sickle cell MPS care plan.pdf 150.51 KB (Last Modified on March 10, 2021)
    Comments (-1)
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