Health and Medical Information
Holly Area Schools’ Medical Care Plan is a district-wide general education measure to assist the District in providing care to students with chronic medical conditions as directed by each student’s authorized medical provider. The Medical Care Plan consists of a Medical Action Plan form and may also include a Physician’s Authorization for Prescription Medication at school.
Students with a chronic medical condition that requires treatment at school will be required to have a current Medical Care Plan on file in the school office. The Medical Care Plan will be updated annually.
Students who require only the administration of medication during the school day will have a Physician’s Authorization for Prescription Medication at School properly filled out, signed and on file in the school office.
Medication should be in the original labeled container. It is the parent/guardian responsibility to: replace expired medication (no expired medication will be given); provide refills in the new original container when needed; transport medication to and from the school office; and pick it up at the end of the school year. The school does not store medicine over the summer.
If an emergency arises before receipt of student-specific medical interventions, treatments or medications, the school district policy and basic first aid procedures will be followed, 911 will be called if deemed necessary.
*Attention parents of students with seizures….Please read the following *
Please speak with your authorized medical provider about prescribing a rescue medication that will provide the safest, fastest and most effective treatment while maintaining your student’s dignity and privacy.
If you have any questions please contact the school office.
Holly High School: 248-328-3200
Holly Middle School: 248-328-3400
Davisburg Elementary: 248-328-3500
Holly Elementary: 248-328-3600
Patterson Elementary: 248-328-3700
Rose Pioneer Elementary: 248-328-3800
Please note: Holly Area Schools do not have medical personnel present to administer medication / treatment. If appropriate, please order medication / treatment to be administered at home.
504 Health Care Plan
Authorization (Parent and Physician) for Prescription Medication Administration
Contract for Self Carry
Food Sensitivities and Intolerances
Food Substitution Form
Medical Care Plan - Asthma
Medical Care Plan - Diabetes
Medical Care Plan - General
Medical Care Plan - Seizure
Medical Care Plan - Severe Allergy
Tube Feeding Order Form