568 - Student Illness or Injury at School
568 - Student Illness or Injury at SchoolWhen a student becomes ill or is injured at school, the school district will attempt to notify the student's parents/guardians as soon as possible.
The school district, while not responsible for medical treatment of an ill or injured student, will have employees present administer emergency or minor first aid if possible. An ill or injured child will be turned over to the care of the parents/guardians or qualified medical employees as quickly as possible.
It is the responsibility of the principal/designee to file an accident report with the superintendent within twenty-four hours after the student is injured.
Annually, parents/guardians are required to complete a medical emergency authorization form indicating the procedures to be followed, if possible, in an emergency involving their child.
The authorization form will also include the phone numbers of the parents/guardians and alternative numbers to call in case of an injury or illness.
Date of Adoption/Revision:
July 2003
July 2006
July 2010
September 2012
August 2015
568E1 - Student Illness or Injury at School Accident Report Form
568E1 - Student Illness or Injury at School Accident Report FormDate and Time of Incident:
Location of Incident:
Parent’s/Guardian’s Phone Number:
Alternate Parent’s/Guardian’s Phone Number:
Name of Student:
Address of Student:
Please write a brief description of what occurred:
Please list any eyewitnesses to what occurred (attach statements, if any, to this report):
Please indicate what procedure was taken to resolve the incident:
Signature