Medication

Click on the English or Spanish Form to view, download or print

Allergy Action Plan for Epi Pen at School - English Form

Asthma Medication at School - English Form & Spanish Form

Diabetes Management - English Form

Diet Prescription Form (Food allergy without epi pen, G-tube feeding, etc) - English Form

Over the Counter Medication - English Form & Spanish Form

Prescription Medications (medication for migraines, ADHD, etc. - not asthma) - English Form & Spanish Form

Oxygen Needed at School - Please have your doctor fill out the Prescription & Oxygen Plan Forms

Prescription Oxygen - English Form

Oxygen Plan - English Form

Seizures - Please have your doctor fill out the Medication & Seizure Action Plan Forms

Seizure Action Plan - English Form

• These are medications that are prescribed by your child's doctor, for example: asthma, epi pen, diastat, ADHD medications.

• Parents print and fill out the prescription medication forms needed for your child (see "forms needed" above).

• Take this form to your child's doctor to be completed.

• Parent signature is also needed on the form.

• Medication forms need to be completed every school year.

• Prescription medication needs to be given to the School Nurse in its original package from the pharmacy, and it must have your child's name and pharmacy label on it .

• Medications you can buy at the store without a prescription, for example: ibuprofen, cortisone cream, allergy medication.

• Parents print and fill out the over the counter medication form (see link below) and return it to the school nurse with your brand new, unopened medication.

• If over the counter medication(s) need to be given more than 3 days in a row, a doctor's order will be needed.