I understand that accidents may occur in the classroom or on school grounds, during student activities, field trips, club activities, athletics, and/or special classes (including classes involving heavy lifting and machinery), even though normal acceptable safety precautions have been taken.  I realize the risk of my child being injured exists in any class or activity offered by Scott County Public Schools.  I realize the risk of injury may be severe, including but not limited to, the risk of sprain and fracture, brain injury, paralysis, or even death.

Understanding that my child may need emergency treatment during school hours or at school activities, I hereby authorize USD 466 schools, through the school nurse (RN) or other qualified designated personnel, to administer such first aid or other minor medical treatment as shall be deemed best practice under the circumstances, and I consent for my child to receive such treatment. I understand that the School will attempt to notify me in the event of an emergency requiring immediate medical care for my child. I understand that the school will make every attempt to reach one of the emergency contacts listed in my child's records if unable to contact me. In the unlikely event of a medical emergency that requires immediate treatment and/or transport to a hospital or emergency center the school may, in addition to notifying me, activate 911. I understand that emergency medical personnel will transport  my child to the nearest hospital or emergency center as per Kansas state regulations. Any medical information provided to the school may be shared with emergency medical personnel. Expenses incurred as a result of emergency ambulance use, treatment by a physician, or hospital services will not be borne by USD #466 or school personnel.

I acknowledge that it is my responsibility to keep my child's records current to reflect any significant changes, in writing, as they occur, e.g. Telephone numbers, work location, emergency contacts, child's physician and health status, insurance coverage updates, and immunization records. I agree to notify the school nurse if my child is exposed to any communicable disease(s).

I understand that before medication is dispensed or treatments provided to my child, I will provide the medication and written authorization on the USD 466 Medication Permission Form or appropriate signed physician's order, which includes specific information required to accurately administer medications or treatments. The diagnosis for which the medication or treatment is to be administered must be included on the Medication Permission Form or physician's order. This includes OTC medication's such as Tylenol, Ibuprofen, Eye drops, cough syrup, etc.. As per USD 466 policy, medicine MUST be in the original container with my child's name, and dosing instructions on it.

I give permission for the school nurse to share or receive health-related information needed to care for my child with appropriate school staff and other healthcare providers during the 2020-2021 school year. This information will be kept confidential and shared only to ensure student's health, safety, and well-being at school. Revocation of consent to share information must be provided in writing.