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When the Form is returned to the District with either Part I or Part II completed, the
District shall keep the Form on file, and shall send the Form to any school to which
the student is transferred. Upon request of the student's parent, the District may
permit the parent to make changes in a previously filed Form, or to file a new Form.

In the event emergency medical treatment for a student is necessary, the District
will adhere to the instructions on the authorization form. If a parent refuses to
grant consent for emergency medical treatment, the parent must indicate in the
proper place on the Form (i.e., Part II) the procedure the parent wishes school
authorities to follow in the event of a medical emergency involving his/her child.

Even if a parent grants consent for emergency medical treatment, when a student
becomes ill or is injured and requires emergency medical treatment while under
school authority, or while engaged in an extra-curricular activity authorized by the
appropriate school authorities, the building administrator(s) shall make reasonable
attempts to contact the parent before treatment is given. The school representative
shall present the student's Emergency Medical Authorization Form or a copy thereof
to the hospital or practitioner rendering treatment.

The Emergency Medical Authorization Form will be kept in a separate, easily
accessible file in each school building during the school year.

Any time a student or a group of students is taken out of the District to participate
in a school event, the staff in charge of the event must take the Emergency Medical
Authorization Forms for those students. This includes, and is not limited to,
students involved in music trips, athletic trips, field trips, and academic contests.
This does not include student spectators at events.

Whenever it is necessary for staff members to use emergency procedures in order to
care properly for a student, they are to follow the procedures described in the
Superintendent's administrative guidelines. Staff members shall not abide by any
"Do Not Resuscitate" (DNR) order that may exist for a student, unless ordered to do
so by a court of law. If a student has a DNR order in his/her educational records
and/or DNR identification with him/her, school staff will, to the extent feasible,
notify any responding Emergency Medical Services Personnel of the existence of the
DNR identification/order.

R.C. 2133.21 - .26, 3313.712
Adopted 8/1/09

HEALTH SERVICES (5310)
The Board of Education may require students of the District to submit to health
examinations to:

A. protect the school community from the spread of communicable
disease;

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