Medication Authorization

Medication at School:  If medication is needed at school, complete a Medication Authorization Form and have an adult bring it to school with the medication in the original container.  A medication authorization form is required for each medication.  

Prescription medications and Over the Counter medications in dosages other than the recommended dosage for age and weight will also need a physician signature.

Click the link to access the Medication Administration Form:

Medication Authorization Form 

The form can be faxed to 920-459-2930, attention Nicole Johnsrud, School Nurse

OR

scanned in and sent by email to johnsrudn@kohler.k12.wi.us

Please email the School District Nurse at johnsrudn@kohler.k12.wi.us or call 920-803-7287 if you have any questions.