Jefferson Intermediate School

Students with special health concerns (asthma, seizure disorder, diabetes, severe food allergies, etc.) must have an emergency action plan on file every school year. This information is crucial to keep your child safe during the school day. Please print the appropriate form and take it to your child's doctor. Return the form to school promptly with the required emergency medication and medication forms. 

Asthma Action Plan

Seizure Action Plan

Food Allergy Assessment Form

Food Allergy Action Plan

Diabetic Health Care Action Plan