- Tornillo Independent School District
- Medical Forms
Health Forms and Information
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The Wellness Department at TISD will make every necessary arrangement to make sure your child's needs are met. These health forms will allow the Wellness team to provide care for your student while at school. Please keep your child's emergency contact information up-to-date and call your child's school nurse for any questions/concerns.
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Consent for Medical Treatment
A parent, legal guardian or other person having lawful control may complete this form that addresses authorization for emergency medical treatment, health services, screenings and information regarding their student's medical condition.
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Medication Permit
Students are not allowed to carry medications or to self-administer their medications on the campus except under certain authorized circumstances (example: inhaler for asthma or EpiPen for allergies). Consult with the school nurse for more information.
If your child needs to take prescription medication during school hours, you and the medical practitioner must fill out a TISD Medication Permit. Only medication, in its original container and properly labeled and prescribed by a practitioner licensed to practice in the state of Texas, will be administered. Medications prescribed and/or purchased from foreign countries cannot be administered. The school nurse will only return unused medication to the parent/legal guardian.
If your child wears contact lenses, he/she should keep a case and small solution bottle in his/her locker or backpack. Using their own supplies reduces the risk of eye infections.
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Food Allergy and Anaphylaxis
For students with anaphylaxis to food, insects, or other substances, please use this form:
Tornillo ISD’s Food Allergy and Anaphylaxis Emergency Care Plan was developed to care for students with a diagnosed or undiagnosed potentially life-threatening allergy at risk for anaphylaxis, a life-threatening allergy response. Anaphylaxis is a serious immune-mediated response that develops after ingesting or coming in contact with allergens such as foods, insect stings, latex, or medications. Anaphylaxis may occur within minutes and up to 2 hours after exposure to an allergen. This Emergency Care Plan is in compliance with Texas S.B 27 and 66 as outlined by the Texas Department of State Health Services Allergies and Anaphylaxis Guidelines.
Tornillo ISD will follow an individualized health plan (IHP) for students with food allergies upon receipt of signed medical plans and parental consent forms. The IHP involves cooperation and communication between students, parents, student’s physician, school nurse, counselors, food services, and other Tornillo ISD personnel as needed:
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- Tornillo ISD requires annual compliance training to teach all staff to recognize an allergic reaction and how to use rescue drugs such as epinephrine auto-injectors.
- In the case of severe life-threatening allergies, elementary school nurses will send letters to other parents of the class requesting parents to voluntarily refrain from sending the allergen food in their child’s belongings during school or after-school activities, celebrations or parties.
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- The principal will designate a food-allergy friendly area or lunch table. Handwashing guidelines for staff and students will be enforced.
- The custodial department will be instructed to use commercial wipes and cleaners that remove the allergen from the hard surfaces. Non-food items will be adapted into the curriculum for those classes who have students with food allergies.
- The transportation department will also be notified and trained to recognize the specific reactions to life-threatening allergies, if applicable.
While Tornillo ISD cannot guarantee an allergy-free environment at school, the district is committed to doing everything possible to ensure the safety of every child who has allergies.
Some students have allergies that are triggered by certain foods and may lead to an anaphylactic reaction which can be life-threatening. When the school learns of such an allergy, it is important to respond in a manner to ensure the health of the student. TISD cannot guarantee that a student will never experience an allergy-related event while at school; however, in order to reduce the risk that children with food allergies will have an allergy-related event at school, the Tornillo ISD Nutrition Policy was created as outlined by DSHS Allergy & Anaphylaxis Guidelines.
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Asthma Action Plan
For students with respiratory issues requiring an inhaler, please complete the following form:
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Diabetes Care Plan
Please complete this form as authorization from the student's diabetes care provider.
Under HB 984, every Texas school must train additional staff to serve as Unlicensed Diabetes Care Assistants who can provide diabetes management and care services if a nurse is not available when a student needs such services. Such services include the administration of insulin or, in an emergency, glucagon.
Tornillo ISD has trained staff at each school to provide such services. HB 984 further specifies that an Unlicensed Diabetes Care Assistant exercises his or her judgment and discretion in providing diabetes care services and that nothing in the statute limits the immunity from liability afforded to employees under section 22.0511 of the Texas Education Code.
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Seizure Care Plan
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Special Procedures
If your student requires specialized health care, please use these forms:
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Special Diet
If your child has a food allergy or intolerance or a disability that restricts their diet, please complete this Special Meal Accommodation Form (Parts A & B). The form must also be signed by a licensed physician.
For more information, visit: TISD Child Nutrition Services
