Live Broadcast - Jemison High School Graduation Ceremony
ETV presents the Jemison High School graduation ceremony, beginning at approximately 1:30PM. Click below to access the live stream.

Medical Forms

Click on any of the links below for more information. 

(PPA) School Medication Prescriber Parent Authorization Forms
Prescription Medications

PDF iconPPA_HS-P19-F2.pdf

Over-the-Counter (OTC) Medications

PDF iconPPA OTC revised 5-2016.pdf


ADD/ADHD Management Plan Packet

PDF iconADD.ADHD_Let_HS-P32-R1.pdf

PDF iconADD.ADHD_IHP_HS-P32-F1.pdf

PDF iconPPA_HS-P19-F2.pdf


Allergy with Medication Management Plan Packet

PDF iconAllergies_Let_HS-P10-R1.pdf

PDF iconAllergy_Med_IHP_HS-P10-F1.pdf

PDF iconPPA_HS-P19-F2.pdf

Allergy without Medication Management Plan

PDF iconAllergy_Without_Med_IHP_HS-P10-F1.pdf


Asthma with Medication Management Plan Packet

PDF iconASTHMA_let_HS-P11-R1.pdf

PDF iconAsthma_Med_IHP_HS-P11-F1.pdf

PDF iconPPA_HS-P19-F2.pdf

Asthma without Medication Management Plan

PDF iconAsthma_Without_Med_IHP_HS-P11-F1.pdf


Catheterization Management Plan Packet

PDF iconCLEAN_CATH_let_HS-P16-R1.pdf

PDF iconCath_IHP_HS-P16-F2.pdf

PDF iconPPA for CIC rev 5-2014.pdf


Diabetes Management Plan Packet

PDF iconDIABETES_letter_HS-P12-R1.pdf

PDF iconDiabetes_IHP_HS-P12-F2.pdf

PDF iconextracurricular_letter_Diabetes_HS-P12-F1.pdf

PDF iconAPPENDIX_2_2016_IHCP_packet_5_2016.pdf

PDF iconPPA_HS-P19-F2.pdf


G-J Tube Management Plan Packet

PDF iconGJ-Tube_Let_HS-P15-R1.pdf

PDF iconGJ-tube_IHP_HS-P15-F2.pdf

PDF iconGTUBE_PPA_HS-P15-F1.pdf

PDF iconPPA_HS-P19-F2.pdf


Headache/Migraine Management Plan Packet

PDF iconHeadache_Let_HS-P33-R1.pdf

PDF iconHeadache_IHP_HS-P33-F1.pdf

PDF iconPPA OTC revised 5-2016.pdf

PDF iconPPA_HS-P19-F2.pdf


Other Health Condition with Medication Management Plan Packet

PDF iconOTHER_Let_HS-P13-R1.pdf

PDF iconOther_Med_IHP_HS-P13-F1.pdf

PDF iconPPA_HS-P19-F2.pdf

Other without Medication Management Plan

PDF iconOther_Without_Med_IHP_HS-P13-F2.pdf


Oxygen Management Plan Packet

PDF iconOxygen_Let_HS-P17-R1.pdf

PDF iconOxygen_IHP_HS-P17-F1.pdf

PDF iconPPA_HS-P19-F2.pdf


Seizures with Medication Management Plan Packet

PDF iconSeizure_Let_HS-P14-R4.pdf

PDF iconSEIZURES_IHP_HS-P14-F8.pdf

PDF iconVNS_PPA_HS-P14-F5.pdf

PDF iconPPA_HS-P19-F2.pdf

PDF iconExtracurricular_Seizures_HS-P14-F6 (1).pdf

Seizure without Medication Management Plan

PDF iconSEIZURES_No_MED_HS-P14-F4.pdf

PDF iconVNS_PPA_HS-P14-F5.pdf

PDF iconExtracurricular_Seizures_HS-P14-F6.pdf


Sickle Cell Mangement Plan Packet

PDF iconSICKLE.CELL_.Letter.pdf

PDF iconsickle.cell_.IHP_.pdf

PDF iconPPA_HS-P19-F2.pdf


Tracheostomy Management Plan Packet

PDF iconTRACHEOSTOMY_let_HS-P18-R1.pdf

PDF iconTracheostomy_IHP_HS-P18-F1.pdf

PDF iconPPA for Trach Care 5-2014.pdf

PDF iconPPA_HS-P19-F2.pdf

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