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General Guidelines

New Medical Action Plans (MAPs) are required every school year for medical treatment at school, as they expire on the school building's last day of school. MAP forms for the 2019-20 school year are posted in the Files & Folders section, below.  Please note that the General MAP must accompany any additional MAPs for asthma, diabetes, etc.

In compliance with Section 504 law, all MAP forms include notice of procedural safeguards.

Please note the following:

If epinephrine is ordered for emergency use at school, the school must have an emergency plan (either our MAP for Severe Allergy or a written emergency plan from the ordering physician).

If your child’s food allergy is not potentially life threatening and only an antihistamine is desired (such as Benadryl®), then Form A for prescribed medication must be used so school staff have a doctor’s order and directions.

Inhalers can be ordered for office use or self-carry on FORM A for prescribed medication without doing an Asthma MAP (if a MAP is completed for asthma care planning, Form A is not required).

For diabetes, please use the health care plan and orders template that your child’s physician prefers. The Rochester Community Schools MAP was designed for this purpose as a quick reference for treating high and low blood sugars and follows the other MAP formats for speed of use. Routine care may require a more involved plan for each individual student. If you would like to submit an attachment with any additional medical information pertaining to your student, please attach to the MAP.

If medication is to be given at school routinely but is not part of a MAP order, such as Ritalin® for ADHD or Motrin® for arthritis then Form A for prescribed medication is required (even if the medication is over-the-counter).

Over-the-counter medications ordered by the parent alone are intended for occasional use only and should follow the guidelines on the reverse side of that form (Form C).

All medication must be in the original container or pharmacy prescription bottle labeled with the student's name, medication name, dosage and frequency to dispense instructions.  NO EXPIRED MEDICATION will be administered.

All forms are posted below. Click on the desired condition or subject and you will find the correct form and other resource information.

PRIOR TO June 14, 2019, Please return the MAP in a sealed envelope, clearly labeled MAP, to the office of the school location of which your student is currently attending. Please do not submit MAPs over the summer break.  AFTER August 13, 2019, forms can be submitted to the school they will be attending for the 2019-20 school year.