Medication Forms

Click on underlined link to view/print forms:
 
  • This form is required for a student to take medication in school.  This includes any prescription medication, over the counter medications, inhalers, epipens and insulin.
  • It must by signed by BOTH parent/guardian and physician.
  • Students who self carry inhalers, epipens or insulin must also complete this form. 
  • Students may only self carry insulin, epipens and inhalers.  Any other medications (including over the counter) MUST be kept in the nurse's office.
  • All medications must be supplied by the parent/guardian. 
  • Medications must be in the original container with prescription label.  Over the counter medications must also be supplied to the nurse in it's original container.
  • The Asthma Action Plan is required for all students with asthma along with the medication authorization form above.
  • It is to be completed by a Parent/Guardian and Physician
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