Supporting Documentation
MEDICAL FORMS
- Children with asthma/anaphylaxis/allergies MUST have an action plan (issued by doctor/medical professional) – reviewed every 12 months
- All action plans MUST have a colour photo
- Children with asthma/anaphylaxis/allergies MUST have a risk minimization plan (completed by parent/carer)
- Children with medications to be administered (including any Ventolin/inhalers, Panadol, Ritalin, etc.) MUST have said medication submitted each day to program staff.
- Children with medications to be administered (including any Ventolin/inhalers, Panadol, Ritalin, etc.) MUST have a Medication Authorisation form to accompany it, submitted to staff.
Medication Authorisation Form - PDF- Risk Minimisation Form
- Asthma Action Plan Template – completed by a doctor, reviewed every 12 months
- Anaphylaxis Action Plan Template (EpiPen) - completed by a doctor, reviewed every 12 months
- Anahphylaxis Action Plan Template (Anapen) - completed by a doctor, reviewed every 12 months
- Allergy Action Plan Template - completed by a doctor, reviewed every 12 months
INCLUSION SUBSIDY SUPPORT FORMS
ISS forms must be completed for any child with a diagnosis of having an additional need (eg. ADHD, Asperger’s, Autism, etc.). The Health Care information form must be completed by a medical professional (GP, Psychologist, Pediatrician, etc.)
The remaining two forms are to be completed by the family. Children with additional needs will not have a confirmed booking until all three forms have been submitted (minimum 3 weeks prior to program)
ISS forms must be completed for ANY child with a diagnosis of having an additional need (eg. ADHD, Asperger’s, Autism, etc.).
The two forms here must be completed and submitted with all registration/booking documentation and are to be completed by the parent/guardian of the child/ren.
ALSO REQUIRED *A supporting letter from an Allied Health Professional, stating that the child is either undergoing an assessment or has a diagnosis
BEHAVIOUR MANAGEMENT PLAN
To assist The Y School Holiday Program staff to better care for your child we require as much information as possible. If your child has an existing Behaviour Management Plan in place at school please ensure you provide a copy of this when submitting your registration & booking forms. If your child has a history of behavioural concerns but doesn’t have a plan in place please ensure you consider completing the Behaviour Management Template as per the link below. This does not impede your child’s chances of participation, it betters our ability to care for your child.
