Medical/Nursing Health For Students

Welcome to Cabrillo Unified School District's home page for students with health care needs.  Our District Nurse and staff work with families and school-based staff to help manage medical conditions for students in our school, including chronic illnesses and administration of medications. 

For questions regarding student health please contact our District Nurse:

Susan Vana @ [email protected] or (650) 240-3474.


Healthcare  Forms for School
*Must be renewed at the beginning of each school year AND if there are any changes to the plan*

Asthma Action Plan (Eng)

Asthma Action Plan (Sp)

Authorization for Feeding Tube Management at School

Authorization for Management of Catheterization at School

Authorization for Management of Oxygen at School

Authorization for Students Requiring Assistance with ADLs at School

Authorization for Tracheostomy Management at School

Food Allergy and Anaphylaxis (Eng)

Food Allergy and Anaphylaxis (Sp)

General Seizure Action Plan (Eng)

General Seizure Action Plan (Sp)

Medication Administration Authorization Form-English (PDF)

Medication Administration Authorization Form-Spanish (PDF)


Medi-Cal Renewals

In March 2020, the federal government waived certain Medicaid and Children’s Health Insurance Program requirements and conditions in response to COVID-19. The easing of these rules helped families with Medi-Cal keep their health coverage during the pandemic. However, Medi-Cal participants must now renew their eligibility in order to continue to receive health benefits through the program. 

Take Action to Keep Your Coverage.

Local Medi-Cal offices review each member's eligibility once a year or when they report changes to their household. Everyone's renewal date is different.


For updates of family information, renewal, or options if you have been notified that you are no longer eligible, go to the following Health Care Services Medi-Cal renewal website: English  Español


Renovaciones de Medi-Cal


En marzo del 2020, el gobierno federal eliminó ciertos requisitos y condiciones de Medicaid y del Programa de seguro médico para niños en respuesta al COVID-19. La flexibilización de estas reglas ayudó a las familias con Medi-Cal a mantener su cobertura de salud durante la pandemia. Sin embargo, los participantes de Medi-Cal ahora deben renovar su elegibilidad para continuar recibiendo beneficios de salud a través del programa.

Tome medidas para mantener su cobertura.

Las oficinas locales de Medi-Cal revisan la elegibilidad de cada miembro una vez al año o cuando informan sobre cambios en su hogar. La fecha de renovación de cada uno es diferente.

Para actualizaciones de información familiar, renovación u opciones si se le ha notificado que ya no es elegible, visite el siguiente sitio web de renovación de Servicios de Atención Médica de Medi-Cal: English  Español  

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