MEDICATION FORMS
Prescription and Over The Counter Forms available online.
September 20, 2007
When it is necessary for a student to take medication at school, a signed form from the doctor and a parent are required. The school nurse has no authority to give medicine without written permission from both the prescribing physician and a parent.
The entire medication policy is available from your school principal, but a brief overview of major emphasis in current policy follows:
1. Where medication is necessary in order that the student remain in school, the school may cooperate with parents in the supervision of medication for students, but written permission to do so must be provided by the medical prescriber and the parent. The District form, "Permission for Medication" is available from the school nurse or may be printed off by clicking on the following link.
Permission for Medication Form
2. Medication must be provided in the original container, properly labeled and properly authorized by the written order of a licensed medical person. Two containers, one for home and one for school, should be requested for the pharmacist.
3. Only oral and topical medications should be administered except in emergency situations.
4. Any change in type of drugs, dosage and/or time of administration must be accompanied by new physician and parent permission signatures and newly labeled pharmacy container.
Grades K-6: This policy includes "over the counter" (non-prescription) medications. Written permission from both prescribing physician and parent is required.
Grades 7-12: The junior high and high school students will be permitted to carry and self-administer "over the counter" (non-prescription) medications provided the "Over the Counter Permission Form" is on file at the high school office. The form may be obtained from the high school office or printed off by clicking on the following link.
OTC Medication Permission Form
*Students in grades K-12 will be permitted to carry and self-administer prescription medications for the treatment of anaphylaxis or asthma ONLY when the follow requirements are met:
1. Written permission form from the healthcare provider and parent are on file.
2. Written treatment plan from the healthcare provider.
3. Written statement from the healthcare provider and school nurse that the student has demonstrated the skill level necessary to use the medication.
