Prevalent Medical Conditions
Required Medical Plans of Care for La Salle
Dear Families,
To help us gather important medical information about your child, we ask that you select the correct Plan of Care form below, complete it and return it to the school as soon as possible. If you require us to administer daily medication, you will also need to complete the necessary paperwork for us to be able to do this. Completed forms can be faxed to 613-545-9220 or scanned and emailed to lasss@limestone.on.ca
**Be sure to also include the supplementary forms if medication may need to be administered by school staff.
Health and safety of our kids is our first priority. Thank you for helping us stay informed on your child's medical conditions and Plan of Care.
Sincerely,
The La Salle School Team
Supplemental Forms
- Form-314-A1: Authorization and Request for Administration of Prescribed Medication/Medical Procedures
- Form-314-A2: Authorization and Request Form for the Administration of Prescribed Medication
- Form-314-A3: Authorization and Request Form for the Administration of an Epi-Pen
- Form-314-B1: The Administration of Medication and/or Medical Procedures to Students: Record of Procedures
- Form-314-B2: Medical Procedure Form
- Form 314-D3 Emergency Medical Alert Form
La Salle Intermediate & Secondary School
Email: lasss@limestone.on.ca
Website: https://lasalle.limestone.on.ca/
Location: 773 Highway 15, Kingston, ON K7L 4V3, Canada
Phone: 613-546-1747
Twitter: @LaSalle_LDSB