Please use this form to provide directions for giving medicine to your son/daughter at school.

The approved office staff will dispense medicine to students according to the following guidelines. 

• The parent/guardian should complete and sign the mediciation authorization form.  Medicine cannot be given without written permission and instructions from the parent/guardian.
• The parent/guardian should be medicine and related equipment to the approved office staff.  Do not send medicine to school by way of the student. 
• All presciption and over-the-counter medicine must be kept in the school office.  Students must not be in possession of medicine while at school unless approved by the principal.  Medicine will not be sent home with the student unless parent gives permission for student to do so.
• Prescription medicine must be in the original labeled container.  The label must include the student's name, the name of the medicine, instructions for dispensing the medicine, and the doctor's name.  Pharmacists can provide a duplicate labeled container with only the dosage to be given at school. 
• Over-the-counter medicine must be in the original container and marked with the student's name.
• A new mediciation authoirzation form must be completed whenever a new medicine or dosage is to be given to the student. 
• The parent/guardian should be up unused medicine from the office at the end of the school year (or it can be sent home with the student if parent gives permission).  Any medicine not picked up will be discarded at the end of each school year.

I understand the guidelines for dispensing medicine to studetns.  I authorize the appointed staff member to give medicine to my child according to the directions given above. 

We carry the medicines listed below in the office.  For anything else, please send in with student's name and directions.  The office has permission to carry inhalers and epipen forms in the office.  If your student needs one of those, they can pick up in the school office.