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Medication Administration Information & forms

Under most circumstances, prescription and non-prescription medication should be taken before or after school, and under parent or medical supervision. If a student must take or receive prescription or non-prescription medication while on school property or during district-sponsored events, his/her parent must first submit written authorization. As part of the written authorization, parents decide whether they want their children to self-administer, or have trained staff administer the medication. District staff may monitor all situations involving student medication, and inspect any medications brought onto District premises. If written, parental authorization is not on file at a school, student medication may be confiscated and parents notified.
NOTE: All medications brought onto school grounds must be in their original packaging, with the pharmacy label (prescription) or package instructions (nonprescription) clearly intact and readable. Medications brought to school in baggies, envelopes, or other types of containers will not be accepted. Parents, please deliver new medications and refills to the school office.

Emergency, Reliever Medication for Asthma (for Staff or Self-Administration)

Please use the following form if: (1) you want staff to help your child administer his/her reliever medication, or (2) you want your child to self-administer and securely store his/her own reliever medication (i.e., inhaler or nebulizer).
NOTE: Before your child will be allowed to self-administer and securely store his/her own reliever medication, your child's health care provider is required to complete a portion of this form.

Reliever Medication Authorization (pdf document)
File Size: 405.03 kb

Epipen for Severe Allergic Reactions

Please use the following forms if: (1) you want staff to help your child administer his/her EpiPen, or (2) you want your child to self-administer and securely store his/her own EpiPen. NOTE: The second form below must be completed by your child's health care provider.


Authorization Forms


Parent Authorization  (pdf document)
File Size: 312.61 kb

Health Care Provider Action Plan (pdf document)
File Size: 173.12 kb

Prescription or Non-Prescription Medications:

Preschool/Elementary Schools
Please use the following form if you would like staff to administer any prescription or non-prescription medication to your child who is in preschool or elementary school. Please use one form per medication.
NOTE: For emergency reliever medications and Epipens, please see other information above.

Medication Administration Authorization: Preschool/Elementary (pdf document)
File Size: 228.53 kb

Prescription or Non-Prescription Medications: Middle or High Schools

Please use the following form if your child is in middle/high school and may need to take prescription or nonprescription medications. This form should be used for either staff or self-administration of medications. Up to two medications can be recorded on one form.
NOTE: For emergency reliever medications and Epipens, please see other information above.


Medication Administration Authorization: Middle/High Schools (pdf document)
File Size: 99.4 kb

For additional information about medications at school, please contact your child's school office.


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