• Documents & Forms

In order to administer ANY medications (both prescription and over the counter, including cough drops, eye drops and non prescription medications) to our students during school hours; the following steps must be taken:

● This form must be completed and signed by your child’s healthcare provider AND the
parent/guardian.
● All medications must be brought to the health clinic by a parent or guardian.
● Medications must not be expired and must be in the original container.
● Prescription medications must be in the original container with the student’s name, medication name and dosage and date. (If you only have one prescription bottle that you keep at home, you may ask your pharmacy for a second labeled container to provide to the school)
● Medications provided MUST match the order from the provider.
● Supplies must be labeled with your child’s name and will be kept in a secure location in the
health clinic.
● Parent/Guardian will notify the health clinic staff if the order changes or is discontinued (A new Order Sheet is required for any changes)
● All medications must be picked up at the end of the school year, or they will be destroyed.

Please contact the school health clinic with any questions.