ÃÛÌÒÊÓƵapp

Process for Prescription & Non-Prescription Medications

When possible, parents and physicians are urged to have student medication administered outside of the school day.

If your student needs to receive medication, either prescription or non-prescription (Tylenol, cough drops, etc.), during school hours, you must provide a medical authorization form, physician note, parent/guardian note, and the medication in its original container.

Medical Authorization Form

Submit the required form(s) for your student’s medication complete with parent/guardian and physician signatures.

• Authorization for Administration of Medication at School (PDF)

Additional forms are required for asthma, allergy, and seizure medications.

• Allergy (Epi-Pen) Medication Authorization Form (PDF)
• Asthma Medication Authorization Form (PDF)
• Seizure Medication Authorization Form (PDF)

Physician Note

Submit a written note from your student’s prescribing physician stating:

• Name of medication
• Dosage
• Time and dates to be given
• The reason it must be given during school hours
• Possible side effects

We will accept faxed authorization from a health care provider. Please call your school’s office for the fax number.?

Parent/Guardian Note

Submit a note giving permission for your student to receive the prescribed medication at school.?

Provide Medication in its Original Container

Medication must be brought to school by a responsible adult in the originally labeled container with the student’s name. If you are unable to bring the medication to school, please call our school nurse before sending it.