*All medication must be handed to school nurse by parent/guardian*

Over-the-Counter (OTC)

OTC medication administration requires parent/guardian authorization yearly. Please fill out the Medication Authorization OTC form and return it to the office. I do not keep a supply of any OTC medications, such as, Ibuprofen, Acetaminophen, Antacid tablets, or Cough Drops. If your child uses any of these on a regular basis, I ask that you please bring in the student’s own supply to keep in the office with the completed Medication Authorization Form.

Please Note: I CANNOT administer without this form signed. Over-the-phone authorization is not allowed, per district policy.

Prescription Medication

In order to administer any PRESCRIPTION medication during school hours, the following paperwork must be completed:

1. A written doctor's order/physician's statement
2. A Medication Authorization Prescription form will need to be completed by parent/guardian every year
3. All prescription medication must be brought in by parent/guardian in original pharmacy container/bottle with a pharmacy label stating the following:
   • Child's Name
   • Name of medication
   • Dosage instructions
4. In addition, if your child uses a medication that they carry on their person (inhaler or EpiPen) we will need a letter from your child's physician stating that they are allowed to self-carry this medication.

The above must be submitted to the Nurse’s Office before medication can be administered during school hours. Thank you for your cooperation.