Forms

Letter of Support for HB 468

Wake County Delegation

My Favorite Teacher Form and Rules

YEARBOOK ORDER FORM (New Deadline: Feb 28th – Please write in student’s name and parent’s name at the bottom and return to Mr. Mooring)

DCCS Winter Dance Tickets Order Form

Winter Programs

DCCS Photo & Media Release Form

DCCS Volunteer Confidentiality Form

DCCS Volunteer Skills and Interest Form

Volunteer Criminal Background Check Form

Fundraising Grant Research Form

Student Pick-Up Authorizations

Student Skill and Information Summary


DCCS Medical Forms (as one packet)

You can also print them separately:

Parent Request and Physicians Order Form for Medication

Medical Guidelines, Immunizations Form, Non-Perscription OTC Medication Form


MEDICAL GUIDELINES AND MEDICATION ADMINISTRATION POLICY

Please read the following information carefully regarding administration of medications at Dynamic Community Charter School.

Dynamic Community Charter’s School’s Health and Safety Policies require that you and your child’s physician complete the attached form in order to receive medications from the authorized school personnel.

There are three forms.  A Student Health and Immunization Form, a Non-Prescription or over the counter (OTC) Medication Form AND Prescription Medication Form.  Any over the counter (OTC) and/or prescription medicines must be properly labeled with the child’s name, dosage, and delivered to the school in a clear gallon bag with the child’s name clearly labeled on the bag.  Any droppers, cups, syringes, etc. to administer the medication(s) must be provided as well.

It is important we have the medical and allergy information by August 25th.  Forms may be hand delivered to the school or scanned and emailed to recordsdccs@gmail.com.   All medical forms must be returned to school by August 25.

OTHER MEDICAL GUIDELINES

Students may take their own medications if a permission slip is completed and signed by parent, student and physician and the student can communicate the need to take the medication and their symptoms.

Students with Diabetes, Asthma, or with potential anaphylactic (life threatening) reactions may keep and self-administer their medication if the parent and physician sign the DCCS Medication Administration form and the student demonstrates appropriate proficiency in using the medication.

A Dynamic Community Charter School staff member may administer medications prescribed by the student’s physician. Medications must be in a clearly labeled prescription bottle with the name of the student, name of the medication, amount to be given, the time it is to be given and the physician’s name.

When a student becomes ill or is injured at school, the student is to report to the office and the Lead Administrator or authorized staff member will notify parents or other persons responsible for the student before he or she leaves campus.

A student who has been sick and out of school should remain at home until the temperature has remained normal for 24 hours without fever-reducing medications. This is to ensure that the student does not have a relapse or expose others unnecessarily.

Known contagious diseases or conditions are to be reported to the school.