Student Information
Medical Overview (School Nurse–Friendly)
Primary diagnoses and medical considerations written in clear, non-technical language.
Use brief bullet-style language when possible.
Allergies & Alerts
Life-threatening allergies, triggers, or critical warnings.
Medications (Medication Log)
| Medication |
Dosage |
Time / Frequency |
Purpose |
Emergency? |
| | | | |
| | | | |
| | | | |
Emergency Instructions
Clear steps for what to do and when to call 911.
Provider Contact List
| Provider |
Specialty |
Phone |
Notes |
| | | |
| | | |
Upload & Storage Placeholders
Upload: Medical Summary PDF
Upload: Medication Authorization Forms
Upload: Emergency Action Plans
Keep this summary updated and share only with authorized individuals.
