Prescription Medications: The Request to Administer
Medication form will need to be signed by the parent/guardian and the
MD/Health Care Provider before the medication can be given by the School
Nurse. Once the form is completed by the parent/guardian I can fax it
to the MD/Health Care provider's office for signature if needed.
OTC (Over-The-Counter): The Request to Administer
Medication form will need to be completed by the parent/guardian only.
Doctor's signature is not required for OTC medication.
Along with the completed Request to Administer Medication form, the medication will need to be provided by the parent/guardian in the
original container, this is for all over the counter and prescriptions medications. This will need to be done before any
medication can be given at the school.
Medication Administration Release Form
All Medical Forms
PLEASE PUT STUDENT'S NAME ON ALL MEDICINES and DIRECTLY ON INHALERS.