Health care plans for students with specialized needs

We do our best to accommodate the health needs of every child. Nurses are not always available and an appointed trained designee may be responsible for administering medication or treatment. 

This is why the Children's Hospital of Richmond, HCA and Bon Secours are partnering with Henrico, Richmond and Chesterfield public schools to developed standardized process to submit documents to school for the children we serve.

These care plan forms include:

• Allergy and anaphylaxis emergency plan
• Asthma action plan
• Diabetes medical management form
• G-tube physician's order
• Individualized health care plan
• Medication permission form
• Seizure action plan

Submitting your patient's care plan

Please FAX or EMAIL copies of signed care plans/orders to School Health Services by September 1st so your patient can start the 2021-2022 School Year on time!*

For CCPS, send directly to your patient's school nurse.

Schools MUST have a care plan or medical permission form from a licensed provider with parental consent to dispense medication and perform treatments. 

Additional resources

• Referral Guide - providers, services and locations (PDF) 
• Chesterfield County Public Schools - Keeping Our Community Healthy: School Attendance and Sick Day Guidelines
• Henrico County Public Schools - Student health services brochure
• Richmond Public Schools - Student health services brochure

Community liaisons: We're here to help

Our community liaisons can answer service-line questions, conduct facility tours, provide information on pediatric educational (CME) opportunities and share copies of our latest publications.

Lexi Aman
Outreach and Marketing Specialist, Senior
Northern and Central Virginia
Office: (804) 229-9351

Karol Wilson, MBA
Outreach and Marketing Specialist, Senior
Central and Eastern Virginia
Office: (804) 239-3819