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5341 Policy_Emergency Medical Authorization

The District will distribute annually to parents or guardians of all students the Emergency Medical Authorization
Form. In the event emergency medical treatment for a student is necessary, the District will adhere to the
instructions on the authorization form.
The Emergency Medical Authorization Form will be kept in a separate, easily accessible file in each school
building during the school year.
Any time a student or a group of students is taken out of the District to participate in a school event, the staff in
charge of the event must take the Emergency Medical Forms for those students. This includes, and is not limited
to, students involved in music trips, athletic trips, field trips, and academic contests. This does not include student
spectators at events.
Whenever it is necessary for staff members to use emergency procedures in order to care properly for a student,
they are to follow the procedures described in the Superintendent's administrative procedures and are not to abide
by any "Do Not Resuscitate" (DNR) agreement that may exist for a student, unless ordered to do so by a court of

118.29(4), Wis. Stats.

Approved/Adopted: July 13, 2009

Sharon Weinstock,
Aug 8, 2011, 8:14 AM