SCHOOL NURSE - Medication & Medical Forms

Medication Guidelines


Medications will be given in school only in exceptional circumstances when the child's health may be jeopardized without it. A medication authorization form from the prescribing doctor or dentist shall be required. This form may be printed by clicking the link below labeled Medical Authorization Form. This statement shall include the name of the medication, the dose, the time to be given and possible reaction if any. Parent signature is also required. 


This procedure must be followed for prescription as well as over the counter medications.


The medication must be brought to school in a bottle marked with:

  •   Name of students 

  •   Name of physician 

  •   Name of medication 

  •   Time to be given 

  •   The dosage


If this procedure is not followed the medication will not be given.

Prescription Pill Bottle

Medical Forms & Plan of Care


The following forms can be printed and brought to your child's dentist/doctor if needed. Several reasons why you may need one of these forms: Private physicals and dental are due in Kindergarten or 1st grade, Special diets or restrictions must be received in writing and signed by your physician and diagnoses plan of care.