Medication Requests

  • Medication that must be administered to a student during school hours must be provided by the student's parent/guardian. Medication should be given at home whenever possible. The parent/guardian must complete and sign the medication permission form.

    Medication Permission Form

    Medication Permission Form - Spanish

     

    Prescription medication must be in the original, properly labeled container from the pharmacy that includes the student's name, prescribing physician, instructions for administration, and is not expired.

     

    Nonprescription medication must be provided by the parent/guardian in the original, smallest available container that is clearly labeled and is not expired. Storage of nonprescription medications will be limited to a two-week supply.

    Parent-provided nonprescription medication from the district-approved list may be given up to 10 times with no physician signature. District-approved nonprescription medications will not be administered in dosages higher than the label recommends for age, or for indications the medication is not FDA-approved for in children and adolescents.

    District-approved nonprescription medication list:

    • Benadryl (diphenhydramine)
    • Acetaminophen (Tylenol)
    • Ibuprofen (Advil, Motrin)
    • Cough drops/lozenges

    Nonprescription medications from the District-approved list will be stopped and the school nurse will contact the parent if:

    • More than 10 doses have been administered during the current school year.
    • If pain or symptoms get worse or last more than 5 days, new symptoms occur, or signs of infection occur.

     

    Additional Medication Information: A physician order or physician signature on the Medication Permission Form is required for all other nonprescription medications, off-label medications, and prescription medication samples. Changes in medication or dosage require a new Medication Permission Form and physician signature/order. Unused, discontinued or expired medication must be picked up by the parent. Medications not picked up will be disposed of at the end of the school year or within 5 days after discontinued. All medication policy and procedures can be found in the Student Handbook.

     

    Asthma Medication

    Please complete the Asthma School Health Plan form with your child's physician and return it to the school nurse, along with the prescribed asthma medications. Students must have written permission from their physician on the form below to carry their asthma inhaler while at school.

    Asthma School Health Plan

    Asthma School Health Plan - Spanish

     

    Allergy & Anaphylaxis

    Please complete the Allergy School Health Plan form with your child's physician and return it to the school nurse, along with the prescribed allergy medications. Students must have written permission from their physician on the form below to carry their prescribed epinephrine auto-injector while at school.

    Allergy School Health Plan

    Allergy School Health Plan - Spanish

     

    To request a dietary modificiation or substitution to school meals, please have your physician complete the form below and return it to the school nurse.

    Special Diet Request Form

    Special Diet Request Form - Spanish