Anaphylaxis - Use of Bus Epinephrine Parent Notification

April 30, 2013

Dear Parent/Guardian:

To insure the health and safety of your child on the bus, the North Smithfield School Department and First Student School Bus Transportation Company provides the following information to fulfill the procedures specified in Section 16-21-22 of the Rhode Island General Laws in Chapter 16-21 entitled “Health and Safety of Pupils.”

Parents/Guardians who want auto-injectable epinephrine available on the bus to and from school as an emergency supportive intervention must authorize your child to self-carry his/her auto-injectable epinephrine.
 

Therefore, if you opt for this, please:

  1. Provide First Student School Bus Transportation Company with the following written information:
  • Your child is “medically identified as being prone to anaphylaxis” and,
  • You must provide a copy of a Licensed Health Care Provider’s current prescription order, and,
  • You must provide written authorization from the Licensed Health Care Provider stating the child/student “is authorized to self-carry his/her auto-injectable epinephrine.

You may mail or drop off the written documentation at the First Student terminal located at:

  • Mailing Address:  PO Box 807, Slatersville, RI  02876
  • Physical Address:  487 Comstock Road, North Smithfield
  • Drop off must occur between the hours of 8:00 am and 3:00 pm.

School bus drivers are not allowed to accept the required information, etc., from parents. 

Should you have any questions, please contact your child’s school nurse.

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Anaphylaxis Permission Form/Checklist129.75 KB
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