Medication Consent Form 

  • Both parent/guardian and physician must sign the Medication Administration Consent Form for administration of any prescription medication during the school day.

  • For over-the-counter (non-prescription) medication to be administered during the school day, only the parent/guardian signature is required on the Medication Administration Consent Form.

  • Medication must be brought to school in the original or pharmacy labeled container, properly marked with the name of the student, name of the medication, dosage, and the time to be given.

  • It is the parents/guardians’ responsibility to provide all over-the-counter medications to the school.

  • Only a limited supply of medication should be brought to school at any one time.

  • Parent/guardian is responsible for personally delivering all prescription medication to the school office personnel/school nurse

  • Unused portions of medication after the completion of the school year or when discontinued will be disposed of after 7 days if not picked up by the parent.

  • No Medication will be administered by school personnel unless this policy is followed. If a child brings medication to school without the appropriately signed form or non-matching prescription bottle, the school will notify the parent or guardian that the medication will not be given until the necessary signatures or labels are provided. In the interim, the parent will be invited to administer the medication to their child at school.

  • Medications kept by the students: According to school policy, medications (both prescriptions and over-the-counter) are not kept by students during the school day. However, special health concerns may warrant a change in procedure (i.e. inhalers/epi-pens).

  • Discuss the times of medication to be given with your physician. It may be possible to regulate the dosage so that the medication could be given while your child is at home.

  • Please contact the school nurse at any time with health or medication concerns.