For students who will require the administration of medication at school, an “In-School Medication Administration” form must be signed every year by both the parent/guardian AND the student’s physician. Additionally, all inhalers require a physician-signed “Asthma Action Plan” and Epi-pens require a physician-signed “Life Threatening Allergy Action Plan.”
- Download the appropriate fillable PDF form(s) with the links below.
- Mail the completed forms to your school level office or email completed forms to nurse@iwacc.org
(Your School Level)
2920 S. Alameda Street
Corpus Christi, Texas 78404
For questions, please contact campus Health Coordinator, Mayra Lopez, via email (nurse@iwacc.org) or phone (361) 883-0857 ext. 192.
In-School Medication Administration Form
Asthma Action Plan
Life Threatening Allergy Action Plan