Health Information

Students on climbing wall

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 four forms that are unique to the different medical needs of students.

  1. Epi Pens – Coming soon!
  2. Asthma – Colorado School Asthma Care Plan
  3. Asthma – If desired for your child to keep the inhaler with them and self-administer – Contract for Students Carrying/Self Administer of Inhalers While at School – Coming soon!
  4. All other meds; e.g. (Benadryl (antihistamines), eye drops, Tums, Tylenol, Ibuprofen, daily medications, etc. – Student Medication Request Release Agreement – Coming soon!

All of these forms REQUIRE very specific instructions. Please fill out your portion, with your signature and emergency numbers and then give it to your doctor to complete.

Your doctor’s office can fax the form back to us in the health office at 720-424-2665 (fax line).

You may deliver your medication(s) to the school after we have received the appropriate forms.

There will absolutely be no medications, of any kind, given to a child without proper doctor’s orders.

If you have any questions, email or call nurse Sarah Schrader or health para Erika Rietema for help at 720-424-2650.