Medication Policy and Forms

Medication administration protocols are differentiated based on the grade of the student. Prescription and over-the-counter medication will be administered to students at school only at the specific written request of the student’s parent or guardian, and with the written authorization of the student’s health care provider. (A one-day supply is an exception, see below.) The Student Medication Request and Release Agreement(File: JLCD-E-1), must be signed by the parent or guardian and be accompanied by a health care provider’s order for each medication or change of medication the parent wishes to have administered to the student.

If a student must receive a prescription or over-the-counter medication during school hours, the parent or guardian shall furnish the medication. Prescription medication must be in the original pharmacy labeled container. The label shall state the student’s name, medication, dosage, number, and/or time(s) of dosages per day and the name of the prescribing health care provider. Over-the-counter medication must be in its original packaging. A parent or guardian may deliver medication to the school during school hours. Medications that are brought by the student must be in the packaging as stated above and sealed in an envelope. If the medication is not in a sealed envelope, the parent or guardian will be contacted.

In certain unforeseen circumstances, verbal request or permission to administer medication may be accepted only when made by the parent or guardian to the school nurse, and only when prior delivery of the required forms is not reasonably possible. Written parental permission and authorization by the prescribing health care provider must be submitted by the parent before the medication will be administered a second day. Medication may not be carried during the school day by elementary school students unless there is a need that is documented by the student’s health care provider.