Diabetes
![Picture](/uploads/1/3/0/7/130742348/published/insulin-pen-and-lid-2ep6ago.jpg?1581627043)
( The Lost Mountain Middle School Clinic is a supportive place for your diabetic.
Insuring your student's safety is my top priority! Keeping supplies in the clinic,
having a place to monitor their blood glucose, treating highs and lows – are among
the many things I do in the school clinic.
Please complete the following documents for your diabetic student:
Diabetes Medical Management Plan
- must be filled out by an MD and updated
Pump Supplement Plan
Authorization to Give Medication (English) (Spanish)
(2 needed - 1 for Insulin and 1 for Glucagon)
Authorization to Carry Prescription Medication (English) (Spanish)
(2 needed - 1 for Insulin and 1 for Glucagon)
Diabetic Supply Sheet
Insuring your student's safety is my top priority! Keeping supplies in the clinic,
having a place to monitor their blood glucose, treating highs and lows – are among
the many things I do in the school clinic.
Please complete the following documents for your diabetic student:
Diabetes Medical Management Plan
- must be filled out by an MD and updated
Pump Supplement Plan
Authorization to Give Medication (English) (Spanish)
(2 needed - 1 for Insulin and 1 for Glucagon)
Authorization to Carry Prescription Medication (English) (Spanish)
(2 needed - 1 for Insulin and 1 for Glucagon)
Diabetic Supply Sheet