Required Documents
Required Documents
A variety of required documents are collected during the admissions process, typically following the LRE Options IEP Meeting when TSB is determined to be a student's LRE educational placement. These forms are included below for families to reference.
In addition, the following must be provided as well:
- Birth certificate or officially acceptable evidence of date of birth
- TN Immunization Record
Clinic Registration Packet
Some forms must be completed by the student's medical provider.
- Clinic Welcome Letter
- TSB Clinic Guidelines
- Medical History Form
- TSB Clinic Consents Form
- Concussion Questionnaire & Health Care Providers Form
- Over the Counter Medications Consent Form
- TSB Physical Exam Form with Medications List
- Health Care Provider Medication Order Form
Emergency Care Plans
All applicable care plans must be filled out.
- Seizure Care Plan
- Medication Pump Care Plan
- Diabetes Mellitus Care Plan
- Diabetes Insipidus Care Plan
- Baclofen Pump Care Plan
- Abdominal Tube Care Plan
- Asthma Care Plan
- Allergy and Anaphylaxis Emergency Plan
- Adrenal Insufficiency Care Plan
- Shunt Care Plan