Joe DiMaggio Children's Hospital

School Forms

School forms for diabetes camp need to be renewed annually. Your child's doctor will give you a school form at your child's follow-up visit, from May 1 through the start of the school year. We have forms for Broward, Dade and Palm Beach counties, as well as a generic form that can be used for area private schools.

When completing the forms, please be sure to fill in your name, contact information and information about what parts of diabetes self-care your child is capable of doing during the school day, as well as areas where he or she will require support or assistance. Please note that forms must be renewed yearly, so plan accordingly. We will not fax forms at the beginning of the school year rather, they must be filled out and returned to our office where a nurse can review them and then give them to a physician or practitioner to sign. The form will then be given back to the parents to be delivered to the school.

Camp Forms

Not all camps have specific forms for medication administration. If your child's camp does not have a form, please discuss with your child's provider. Please do this well in advance of the start of camp.

Camp Forms for Children with Diabetes

Diabetes camps have a specific form related to insulin doses that must be filled out and signed prior to camp. At your child's follow-up visit prior to camp, please discuss with their diabetes provider a plan for adjusting insulin doses for camp and bring the appropriate forms to be filled out and signed. There is another section related to immunizations and general care that must be filled out and signed by your child's primary care doctor.

If your child has diabetes but is not going to diabetes camp please discuss with your child's camp.

Camp Forms for Endocrine Patients

Please check with your camp to see what forms need to be filled out for medication administration.

Also, please note that we are unable to sign forms related to immunization and general care. These forms will need to signed by your child's primary care doctor.

The above information is not medical advice and is provided for information only. You should not make any treatment decisions on the basis of this information.