The School Wellness Program(SWP) is operated by Bay Mills Health Center, in partnership with Brimley Area Schools and funded from the Michigan Department of Health and Human Services. The program pairs a Registered Nurse and licensed mental health therapist to provide clinical services, referrals and health education. Rayann Basawa, RN and Jade Seelye, LMSW are within the school to support students physical and mental health. Some examples of services that your child/ren will be able to utilize with this program include:

• Screening/nursing assessment of general health established by the medical director, standards of care, and age-appropriate prevention guidelines.

• Assess and provide for minor injuries, illness, chronic illness, medication administration per standing order.

• Collaborate with students' other healthcare providers

• Support and provide Mental Health Treatment

For more information about the SWP, check out our School Wellness Program Brochure

School Wellness Program Consent(2024-2025)

Medication Consent: It is required for any prescription medication (daily or as needed) as well as over the counter medication that may be needed during school hours. This form must be completed by parent and prescribing provider to be valid. This is a state requirement and is separate from the SWP. *the SWP RN has medication she can administer based on assessment and standing orders.

Medication Consent Form

Diabetic Forms: If your student has Diabetes, they will need to have a Diabetic action plan completed by their provider. If they self-manage, then they will need the self-manage consent form completed. There will also be a Diabetes Emergency Response Plan for Hyperglycemia and Hypoglycemia that needs to be completed.

Diabetes Action Plan

Diabetes Self-Management Consent

Diabetes Hyperglycemia Emergency Action Plan

Diabetes Hypoglycemia Emergency Action Plan

Asthma Forms: If your student has Asthma, they will need to have an Asthma action plan completed by their provider; alongside the Medication Consent Form.

Asthma Emergency Action Plan

Allergy Management Plan: If your student has an allergy that may require treatment at school, we require the completion of an Allergy Management Plan; alongside the Medication Consent Form.

Allergy Management Plan

Anaphylaxis Action Plan: If your student has an allergy that requires an EpiPen/Auvi-Q/Neffy, we require the completion of an Anaphylaxis Action Plan; alongside the Medication Consent Form.

Food Allergy and Anaphylaxis Emergency Action Plan

Allergy and Anaphylaxis Emergency Action Plan

Bay Mills Health Center providers will be providing primary care services within the Zaagigi Clinic at Brimley Area Schools. Items that your child/ren will be able to utilize the clinic for will include:

• Wellness visits including annual examinations and sports physicals.

• Urgent Care services for acute illness, injury with on-site testing available for Strep A, Covid, Influenza and UTI.

• Primary care appointments

Zaagigi Nurse Practitioner Consent

*For your student to see a provider, an appointment must be made through the Bay Mills Health Center, by calling (906) 248-5527, option #1.

*Please note, that parents/guardians will be required to notify the school administrative offices to excuse the student for their scheduled appointment.

Sports Physical Forms: Both forms must be completed prior to your appointment and parental signature in place, or you will be rescheduled.

MHSAA Physical Exam/Medical History Form

Bay Mills Health Center Sports Physical Consent