Health & Wellness

Please complete this form for dispensing medication for conditions not listed below; such as asthma, diabetes, seizure, and severe allergies.  

Medications will not be administered if expired, or for the treatment of symptoms, such as fever, respiratory/gastrointestinal illness, etc., unless there is a medical action plan on file to support a chronic medical condition. Children will need to stay home if they are sick, or have any symptoms that are suspect of a communicable disease.  Rochester Community Schools follows Oakland County Health Division guidance in determining exclusion criteria.  

SchoolMedicationAdministrationForm2022-2023.pdf 

Please submit this plan for general medical needs.

You will need a school medication administration authorization form for each medication required to daily manage general needs.

General MAP 2022-2023.pdf

Please submit this plan for asthma. Inhalers can be ordered for office use or self-carry within this plan. A metered dosed inhaler (MDI), is preferred, but if a nebulizer treatment is required, please contact the school office, prior to school start. 

You will not need a school medication administration authorization form (Medication orders are within this MAP).

Asthma MAP 2022-2023.pdf

Please submit the completed and signed Diabetes Care form with a completed and signed Medical Action Plan (MAP).  Your child's primary endocrinologist will choose to either use their own MAP template OR the RCS Diabetes MAP template listed below.  

Diabetes Care 2022-2023.pdf

Diabetes MAP 2022-2023.pdf  

Please submit this plan for seizure conditions. 

You will not need a school medication administration authorization form (Medication orders are within the MAP.)

Seizure MAP 2022-2023.pdf

Please submit this plan if epinephrine (via auto-injector), is ordered for emergency use at school. 

You will not need a school medication administration authorization form (Medication orders are within this MAP).

Severe Allergy MAP 2022-2023.pdf