SWOSTS Inhaler

Southwestern Ontario Student Transportation Services (“STS”) acknowledges that during the regular course of home to school transportation, it may be necessary for a bus driver to provide support to a student in medical distress. Should a bus driver have occasion to administer First Aid, an Epi-Pen or CPR, s/he does so applying the “in loco parentis” principle and not as a health care professional.

District

School

Grade

Student Last Name

Student First Name

Student ID

Please check this box if your student requires the use of an Inhaler.

Does the student carry an inhaler with them? Yes No

Location of Inhaler

Backpack

Fanny Pack

Other

Parent Disclosure

I acknowledge the information provided within is accurate and agree to inform STS if any information contained within changes.

I consent to the sharing of this information between STS, the school board and the transportation service provider for the purpose of student transport.

Last Name

First Name

Disclosure Statement Southwestern Ontario Student Transportation Services (“STS”) acts on behalf of your school board and contracts transportation service providers to arrange transportation to and from school for eligible students. The personal information you provide on this form will be shared with the relevant staff of STS, school board and transportation provider for the purpose of providing appropriate and safe transportation. The information collected is treated as described in our privacy policy and in accordance with applicable laws. In accordance with the Personal Information Protection and Electronic Documents Act, Article 29, Paragraph (2), personal information requested in this form will assist in providing transportation services. The information is gathered in accordance with the Education Act S.R.O. 1980, c. 129, s.166 (1).

SWOSTS Inhaler

More than one student matches the criteria submitted. Please select the student to use

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