Medical Forms

Please make sure that all medical forms are COMPLETE with SIGNATURE of the physician AND a parent/guardian before turning in.

The Medication Administration Permission form must be filled out for EACH medication brought into the health office or on a field trip. No exceptions, No shortcuts!!!

Both prescription and over the counter medicine need a completed Medication Administration Permission form with it before it can be stored in the health office or taken on school outings. 

Dosages must be written clearly on the form and match the dosage on the prescription bottle. For over the counter medication, please have the physician write exact dosage on the Medication Administration Permission form.

All prescription medication must be in it's original packaging with the prescription label visible. 

Over the counter medication should have the student's first and last name clearly written on the original packaging with a sharpie.

Non cough suppressant cough drops, chap sticks, and hand lotion may be stored in the health office with a note from a parent/guardian.

Please check the expiration dates on the medication before bringing them in. We can't accept or administer expired medication.

If a student uses an inhaler at school, whether stored in the health office or an approved "self carry", there must be a Colorado Asthma Care Plan on file. 

Students with allergies requiring medication while in school, must have an Anaphylaxis Care Plan on file.

If you have any questions concerning these documents please contact Renee Moen by email rmoen@flagstaffacademy.org or phone (303) 651-7900 ext 211

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Renee Moen,
Sep 7, 2016, 11:23 AM
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Lisa Trank-Greene,
Aug 22, 2016, 3:14 PM
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Renee Moen,
Aug 29, 2016, 10:18 AM
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Lisa Trank-Greene,
Sep 3, 2015, 11:41 AM