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HS001 Rev 7/05 CHESAPEAKE PUBLIC SCHOOLS Request for Self-Administration of Emergency Medication Notice to Parents Medication must be brought to school by parent or legal guardian in a container that is appropriately labeled by the pharmacy or physician. Name of Student Last First MI Date of Birth Diagnosis Dosage Home Phone ----------------------------------------Parent Work Medication When should inhaler be used Frequency with which it is to be administered. Route of Administration and Instructions Start Date must be renewed yearly End Date Physician/Nurse Practitioner please print Address Phone Number In accordance with the Code of Virginia Section 22. 1-274. 2 by signing this form I attest to the student s demonstrated ability to safely and effectively self-administer inhaled asthma medications and/or auto-inject epinephrine and of the student s understanding that he is to report to the school nurse or if the school nurse is not available to the principal or his designee if self- a....

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Examples of an excused absence may include, but are not limited to, the following reasons: funeral, illness (including mental health and substance abuse illnesses), injury, legal obligations, medical procedures, suspensions, religious observances, and military obligation.

In addition to any other actions taken pursuant to this policy, if a student who is under 18 years of age has ten (10) or more unexcused absences from school on consecutive school days, the principal may notify the Juvenile and Domestic Relations Court, which may take action to suspend the student's driver's license.

Parents may face criminal charges if they intentionally fail to meet their legal obligation to send their children to attend school. If found guilty of the misdemeanor, the parents could face fines and even jail time for repeat offenses. (Va. Code §§ 18.2-11, 18.2-371, 22.1-258, 22.1-262, 22.1-263 (2019).)

We have 45 schools and 3 centers, along with other special facilities such as the Chesapeake Planetarium and our own TV station (CPS-TV).

757-547-0153 – Chesapeake Public Schools 312 Cedar Road Chesapeake, VA 23322.

Students who have ten (10) or more unexcused absences during the school year could be referred to truancy court and subject to prosecution under the revised Code of Virginia. The Principal, ing to School Board Policy, must review extenuating circumstances submitted in writing by a parent/guardian.

CODE YELLOW - SCHOOLS ARE CLOSED Administrators and twelve-month personnel are expected to report work. CODE GREEN - SCHOOLS ARE CLOSED FOR STUDENTS ONLY Teachers and all other personnel are expected to report to work.

Loss of Credit is mandated through the Virginia Department of Education and requires students to miss no more than 9 absences in a one semester class or 18 absences in a full year class regardless of excuse status.

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Keywords relevant to Chesapeake Public Schools Medication Form

  • Asthmatic
  • ATTEST
  • outcomes
  • administering
  • inhaled
  • revoke
  • Practitioner
  • Considerations
  • Yearly
  • appropriately
  • EPINEPHRINE
  • inhaler
  • consultation
  • physicians
  • guardians
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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232