Tangara School Health Care Plan Name of Student:__________________________ Date: ___________________

. The following table shows an action plan for each health care procedure required for this student . Each action has been devised in consultation with parents / care givers, medical practitioners, relevant health care professionals and students (where appropriate) . Included is a description of each procedure and the agreed process for managing each procedure in the school context
Health Care Procedure Action Required Responsibility Emergency Procedures and Arrangements

Parent/Carer Signature:

Teacher: