Individual Healthcare Plans and Forms
Individual Healthcare Plans and Forms
Guidance on Healthcare Procedures
Flowcharts for Managing Pupils' Healthcare Needs in West Lothian
App 1_Flowchart for Managing Pupils' Healthcare Needs [106.71KB]
App 2_Flowchart and Form 14a for Complex or Multiple Conditions [100.99KB]
Request Forms and Individual Healthcare Plans
App 3_Form 1_Non-prescribed medication [69.28KB]
App 4_Form 2_Short-term prescribed medication [71.67KB]
App 5_Form 3_Long-term prescribed medication [71.62KB]
App 6_Form 4_Long-term 'as required' medication [74.31KB]
App 12_Form 6_Individual Healthcare Plan_Short-term healthcare not requiring medication [39.92KB]
App 13_Form 7_Severe Allergies [143.38KB]
App 14_Form 8_Eczema [89.65KB]
App 15_Form 9a & 9b_Asthma [117.47KB]
App 16_Form 10_Epilepsy [171.37KB]
App_17_Form_11a_Diabetes_'640G'_Insulin_Pump_Oct 2019 [520.91KB]
App 17_Form 11a(i)_Diabetes_CGM for '640G' Insulin Pump [70.82KB]
App 17_Form 11b_Diabetes_Insulin Injections [128.89KB]
App_17_Form_11c_Diabetes_'Veo'_Insulin_Pump_Oct 2019 [161.6KB]
App 17_Form 11c(i)_Diabetes_CGM for 'Veo' Insulin Pump [68.33KB]
App 17_Form 11d_Diabetes_FreeStyle Libre Flash Glucose Monitoring [80.56KB]
App_17_Form_11e_Diabetes_'670G'_Insulin_Pump_Oct 2019 [554.27KB]
App 18_Cystic Fibrosis (Information) [65.24KB]
App 24_Form 13_Medication to be carried and self-administered [68.33KB]
Communication to Parents/Carers Regarding Supply of Medication
App 7_Form 5a_Notice that medication needs replenishing [67.42KB]
App 8_Form 5b_Notice that medication is out of date [67.62KB]
App 9_Request to collect medication from school [65.66KB]
Recording Templates
App 10a_School Medication Administration Record [68.15KB]
App 10b_School Medication Administration Record_Early Years Centre-Nursery [69.97KB]
App 11_School Medication Record for Methylphenidate [69.22KB]
App 19_Staff Training Records [76.66KB]
Emergency Procedures
App 20a_Procedure to call emergency services [65.86KB]
App 20b_Form 12_Emergency incident report [67.61KB]
Generic Symptom and Action Flowcharts for Asthma and Severe Allergies
App 21_Generic Symptom and Action Flowcharts for Asthma and Severe Allergies [134.82KB]
Therapy Intervention
App 22_Procedure for recording the explanation and demonstration of Therapy Intervention [68.43KB]
Risk Assessment
App 23_Help Sheet on Accessing Risk Assessment Audit on RIVO [255.93KB]
