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Medication Forms


Medications should be administered to students by their parents/guardians at home whenever possible. In the event this is not possible, proper written consent must be given to designated school personnel to administer medication.

For Nonprescription Medications

Parent/Guardian written authorization is required.

For Prescription Medications

Parent/Guardian written authorization and Practitioner written authorization is required.

  1. All medication must be in the original container labeled with the student’s name, dosage, time, and quantity to be given.
  2. All prescription medication must be in the original container labeled from the pharmacy.
  3. All medication will be kept in a securely locked cabinet or storage area only accessible to those who have been given the authority to administer medication to students.

Asthma/Allergy Form

Ongoing Medication Form

Over the Counter Medication Form