GENERAL FORMS ARE AVAILABLE BELOW TO PRINT AT HOME,
PAPER COPIES ARE ALSO AVAILABLE IN THE MAIN OFFICE
Authorization for Administration of Asthma Medication
Authorization for Administration of Epinephrine
Student Health History and Physical Exam
Administration of Medication - Parent Letter
IMPORTANT: All Parents Must Complete The Following Forms Annually
Over the Counter Medication Form
Please place a check mark next to each medication to be administered by the nurses. Your child will not be permitted to receive medication from the nurse for a headache, cramps etc. if you do not complete this form. Click HERE for the form.
Emergency Medical/Contact Information Form
Please complete and list all contacts, be sure to update as needed. Answer “yes” or “no” to inhaler, Epinephrine and diabetes. Enter any allergies. This form is very important, you will receive it annually in the Fall for review, please also update us of any changes as they occur throughout the school year.
Medications
State law does not permit students to carry prescription or over the counter medication while at school except in the case of potentially life threatening illness (Inhalers for Asthma and Auto-Injector Epinephrine for severe allergic reactions, and Insulin/Glucagon/Supplies for Diabetes). If it is necessary for a student to receive medication during the school day, the school nurse will administer it. State law requires a written prescription signed by your health care provider including diagnosis, medication dosage, route and time of administration, and written consent of the parent/ guardian. The medication is to be delivered to the health office by the parent in the original pharmacy container. Forms are available in the health office and on this site. Medications other than inhalers, Epinephrine and diabetic supplies must be delivered to health office and picked up from health office by parents.
All medications not picked up by the last day of school will be discarded.
** Epinephrine, inhaler, diabetic and other required orders must be submitted annually in order for your child to participate in athletics, field trips and other school sponsored activities. **