Generic individualized healthcare plan (IHP):

This generic form helps school nurses create an individualized healthcare plan to guide nursing care and the delegation of medical tasks for students. It does not include diagnosis-specific guidance, since plans for asthma, allergies, diabetes, and seizures are available in their own sections of the website. This IHP is a clinical planning tool for nurses and is not shared with school staff. State law requires an IHP for all students who receive delegated medical care.

• Generic individualized healthcare plan IHP - editable file  (new December 2025)

Generic emergency action plan (EAP):

Use this form to share instructions with school staff on how to care for and respond to emergencies for a medical diagnosis that is not covered by another condition-specific form. Use to send information to school staff about the student.

• Generic emergency action plan (EAP) pdf file
• Generic emergency action plan (EAP) - editable file

Medical diagnosis form:

Use this form only if the healthcare provider has not already provided documentation that includes a medical diagnosis. It is required just once and does not need to be updated each year.

• Medical diagnosis confirmation template 2024

Adrenal insufficiency

Documents

• • Adrenal insufficiency emergency action plan 2024 (English)
  • Adrenal Insufficiency medication administration instructions New 9/2026

Adrenal insufficiency training course

• Adrenal insufficiency training course - enroll from the USBE course catalog
• Adrenal insufficiency training checklist 2024
• Adrenal insufficiency training presentation (pdf)

 Laws

• • Adrenal Insufficiency Medication—UCA 53G-9-505

Migraines

The Danielle Byron Henry Migraine Foundation (DBHMF) is excited to share several new, no-cost resources specifically designed to support school health professionals in managing pediatric migraines.

1. Free guides and printed materials

• Order or download free materials
  Free printed materials shipped to you, or downloadable versions to print locally.
• Adult guide: Living well with migraines (2024)
  Helps staff and parents understand migraine management strategies

2. Training for school nurses

• Understanding and supporting students with migraine
  Self-paced, 1-hour NCPD online course for school nurses

3. Presentation opportunities

• Virtual or in-person presentations
  DBHMF may be able to provide presentations for school staff in selected districts