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Prior to any prescription and/or non-prescription medication being administered, a Physician's Authorization for Administration of Medication During School Hours form needs filled out by a physician and signed by a parent/guardian.  The form must also be filled out and include a minimum of the following:

     1.  Date

     2.  Student's name, age, and grade level

     3.  Parent/guardian(s) name(s)

     4.  Name of medication/prescribed dosage

     5.  Time(s)/length of time of administration

     6.  Reason for administration

     7.  Other medication being taken or prescribed, possible side effects/allergies

     8.  Additional recommendations or comments

     9.  Physician's signature, address, and telephone number

     10.  One or both of the student's parents/guardian(s) signatures and their address and telephone number

DELIVERY OF MEDICATION:  Any controlled substance Must be delivered to the school by the parent/guardian.  All controlled substance/medication must be counted by the parent and the school nurse together at time of delivery and then documented.  No more than a 4 week supply of any controlled substance will be kept at school.  All other medications Should be brought to school by the parent/guardian.  Prescribed medications must be in the original pharmacy container.  All non-prescription medications must be in their original packing.  At the end of the school year the parent/guardian may pick up any remaining medication from the nurse.  Any medication not picked up by the last day of school will be disposed of by the nurse.  

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