Student health forms

Your child's health care needs and reducing health risks are important to everyone at Butler College. If your child has a health condition which may require assistance please complete, sign and return one or more of the specific health care forms. It is vital that the College is aware of medical and mental health conditions (even minor conditions) to ensure our First Aid Officers can assess circumstances correctly as they arise.

For conditions not covered by a specific form, the Generic Health Care Form or a plan provided by a medical practitioner can be used. These forms provide an overview of your child’s health care needs; information for use in a medical emergency; and ensure that any medication and equipment you provide for your child is up-to-date and in good working order. Please ensure you select the correct health from below and attach to your child’s enrolment application. If you are unsure which form to complete, contact Administration on 9561 4200.

You may wish to meet with staff to discuss your child’s health care plan, particularly if staff will require training to support your child. Health care plans for serious conditions require a medical practitioner’s signature - it is important to arrange this as soon as possible. The College will then:

  • Review the plan(s) to ensure the school is able to provide the necessary support;
  • Arrange staff training if required to support your child;
  • Ensure plans are implemented, monitored and reviewed annually;
  • Manage the confidentiality of your child’s health care information; and
  • Provide appropriate storage for medication and health equipment.

For all medical conditions, please advise College Administration immediately if an existing plan needs to be changed or a new plan needs to be developed.  Health Forms are required to be completed each year for current students to ensure our records are kept up-to-date at all times.

Form 2 – Generic health care management/emergency response plan
Form 4 – Severe allergy/anaphylaxis management plan and emergency response plan
Form 5 – Mild and moderate allergies management plan and emergency response plan
Form 6 – Diabetes management and emergency response plan
Form 7 – Seizure management and emergency response plan
Form 8 – Asthma management and emergency response plan
Form 9 – Activity of daily living

Additional Forms

Form 3 – Administration of Medication
ASCIA Action Plan for Allergic Reactions
ASCIA Action Plan for Anaphylaxis