Bill Roberts Health Office Forms & Instructions for Medications:
In order to give your child the best care possible, we need to be as detailed as possible! There are forms that are unique to the different medical needs of students.
Asthma Form: Asthma Form -Please use this form is your student has asthma and needs to have an inhaler at school.
Allergy and Anaphylaxis
Allergy and Anaphylaxis Form – Please use this form if your child has a food allergy and requires an antihistamine and epinephrine at school.
Meal Modification Form – If your student has a food allergy and will be eating hot lunch at school; please have a doctor fill out this form and return it to the school nurse.
Headaches and Migraines
Headache Form – If your student experiences frequent headaches/migraines and requires medications, please use this form.
General Medication
Student Medication Request Release Agreement -Please use this form for all other medications needed while at school or on field trips. -Examples: Eye drops, Tums, Tylenol, Ibuprofen, daily medications, cough drops, sunscreen. etc -This form must be filled out and signed by your child’sdoctor
Field Trips
Please use all forms listed above for any overnight field trips
Any medication, including over the counter medications need to be accompanied by a form signed by a doctor.
Self Carry
Students can self carry medication only after meeting with the school nurse to determine if this is appropriate and safe
If you would like your student to self carry medication, please reach out to the school nurse.
Screening Opt-Out Form
Denver Public Schools provides free vision, hearing and dental screenings for students as required by the Colorado Department of Education. Screening can help us find early problems that may make learning harder for your child. If you want your child to receive the screening, you do not need to do anything. If you DO NOT want your child to participate in these screenings; please fill out the this form: English Screening Opt Out Letter – Google Docs
Contacting The School Nurse
School Nurse: Megan Smith – Email: megan_smith@dpsk12.net -Phone number: 720-424-2650
Health Tech: Britney Bernard -Email: britney_bernard1@dpsk12.net -Phone Number: 720-424-2650
The Bill Roberts Nurses’s office phone number may show as spam in your phone. In order to not miss emergency calls from the nurse, please save the phone number in your phone. 720-424-2650
