Medication Forms

If your child requires medication at school, a parent or guardian has to bring that medication to the school nurse.

The following items are required:

Please contact the school nurse with any questions.

Medication Form
This form is to be completed by your child's health care provider for any medication (both precription and over-the -counter) that is necessary for your child to take at school. Please note that many healthcare providers utilize an Electronic Health Record that already has a "medication order for school administration" section; those forms are also accepted as a medication order, but must also be signed by parent to allow the school nurse to administer the medication. ALL MEDICATIONS MUST BE BROUGHT TO SCHOOL BY A PARENT/GUARDIAN IN THE ORIGINAL CONTAINER.

If a student must self-carry a medication at school (albuterol, epipen), the healthcare provider must sign an attestation form stating that the child is independent and able to carry the medication at school. ( see Attestation/Independent Medication Carry Form)
Attestation for Independent/Self-Carry Form
Self Medication
Field Trip Medication

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