Forms

If a student requires medication at school, we need an annual written parent permission form on file with the nurse. All medications must be in the original, properly labeled container. Please contact the school nurse with any medication updates or questions.

Non-medication treatment of symptoms are also encouraged. Drinking extra fluids, for example, will usually help problems such as headache, sore throat, and cold symptoms.

Required Forms

ASTHMA

Required Forms

Medication Permission Form

Asthma Action Plan

*Please make sure your child has his/her rescue inhaler as well as any supplies



ANAPHYLAXIS

Required Forms

Medication Permission Form

Anaphylaxis Care Plan

*Please specify where Epipen will be stored and if benadryl is required.


DAILY AND PRN MEDICATIONS

Required Forms

Medication Permission Form

Physician Order for Medication


EPISODIC MEDICATIONS

(< 10 day course of treatment)

Required Forms

Medication Permission Form or written note stating medication, dose, dates and time to be administered with parent/guardian signature