North DuPage Special Education Cooperative

Medication Authorization Forms

Bensenville District #2

• Blackhawk Middle School
• Tioga School

Bloomingdale District #13

• Bloomingdale District #13 - Authorization and Permission for Administration of Medication Form

Fenton District #100

• Fenton High School

Itasca District #10

• F.E. Peacock Middle School

Lake Park District #108

• Lake Park High School - Emergency/Self Administration 
• Lake Park High School - Daily and As Needed 

Medinah District #11

• Medinah Primary School
• Medinah Intermediate School

NDSEC

• Lincoln Academy
• Lincoln Academy - Emergency/Self Administration
• Transition Learning Center
• Transition Learning Center - Emergency/Self Administration

Roselle District #12

• Roselle District 12 - School Medicine Authorization Form
• Roselle District 12 - Inhaler Authorization Form

Wood Dale District #7

• Early Childhood Education Center
  

Other Forms

• Allergy Action Plan
• Asthma Action Plan
• Dental Exam Form
• Physical & Immunization Form
• Seizure Emergency Plan
• Tube Feeding Plan
• Vision Exam Form