September 2026

Medical Plan of Care for Prevalent Medical Conditions 

This message is intended for the families of students with prevalent medical conditions(AP 314) where documentation is needed by the school:

Please read if your student is attending Lancaster Drive Public School and has a medical condition. We are here to support students with medical conditions to fully access school in a safe, accepting, and healthy learning environment that fully supports their well-being.

In order to make sure we are able to support the needs of your child, we ask that you take the time to complete the appropriate medical forms that are applicable to each of your children.

All medical forms are accessible through the Limestone District School Board website, click HERE to access all the information and documentation we require

Please note the following:

• Form 311 (B, C, D, E) is the Plan of Care, which is required by all students with Epilepsy, Diabetes, Asthma and / or Anaphylaxis. Please make sure to fill out the correct form(s) for your child’s medical condition.
• Form 311-A General POC
• Form 311-B - Epilepsy Plan of Care
• Form 311-C - Diabetes Plan of Care
• Form 311-D -  Asthma Plan of Care
• Form 311-E - Anaphylaxis Plan of Care
• Form 314-A1 is the Authorization and Request for Administration of Prescribed Medication. If your child requires medication during school hours, this form MUST BE completed and signed by the physician. 
• Form 314-A2 is the Authorization and Request for the Administration of Prescribed Medication. This form is for you to sign and give permission to the school to administer the medication indicated on Form 314-A1. If this applies to your child, please sign, and email the form to the school.
• Form 314-A3 is the Authorization and Request for the Administration of an Epi-Pen. This form is only required for students with Anaphylaxis. If this applies to your child, please sign, and email the form to the school.
• Form 314-B1 is the Administration of Medical Procedures. This form needs to be submitted if there is a certain medical procedure that needs to happen during school hours. If this applies to your child, please complete the form, sign, and email the form to the school.

These forms are extremely important for us to receive back from you so that we can support the needs of your child. No medication or procedures can be administered at school without the authorization forms signed and filed at the school.

In accordance with Limestone District School Board Policy, students at risk for anaphylactic reaction, and have prescribed epi-pens, are always to carry an epi-pen on their person. Please ensure that your student has their epi-pen with them and readily available to staff when they are at school. We store the second epi-pen at the main office.

If you have any questions or concerns, please feel free to contact the school. Thank you in advance for your attention to this important matter. We appreciate you gathering all this vital information and emailing it back to us in a timely manner so that we can fully support the needs of your student during the upcoming school year.

Supplemental Forms:

Click below for necessary supplementary forms needed including:

• Form-314-A1: Authorization and Request for Administration of Prescribed Medication/Medical Procedures
• Form-314-A2: Authorization and Request Form for the Administration of Prescribed Medication
• Form-314-A3: Authorization and Request Form for the Administration of an Epi-Pen
• Form-314-A4: Asthma Management - Request and Authorization for the Administration of Reliver/Rescue Inhaler
• Form-314-B1: The Administration of Medication and/or Medical Procedures to Students: Record of Procedures

Medication (e.g., pills, inhalers, etc.) must be brought in/signed off by caregivers. Please do not send medication in your student's backpack. 

Please be advised that families must complete a new Medical Plan of Care each year to ensure staff are supporting students with the most accurate and up to date information regarding your students’ medical needs. 

We are happy to support families with anything related to students' medical needs, such as plans of care or medication - please reach out.