Medical Permission Forms

 

Over-the-Counter Medication (Tylenol, Aleve, aspirin, etc.)

Non-prescription medications are medicines that you can buy without a written prescription from a health care provider.  Non-prescription medications are also called over-the-counter (OTC) medicines.  Please use the link below for a copy of the district's OTC medication permission form.
 
In order for a child to be given a non-prescription medication at school, the child’s parent/guardian must sign a permission form. The medicine must be in the original container with the label on it.  A responsible adult should deliver the medication and permission form to the school.  The medication must also be picked up by an adult.  No medicine can be sent home with a child.  Medications cannot be left in the health room over the summer; therefore any medications not picked up at the end of the school year will be disposed of accordingly. 

Over-the-Counter Medicine Permission Form

Prescription Medication

Prescription medications are medicines prescribed by a health care provider. In order for a child to be given a prescription medication at school, the child’s parent/legal guardian must sign a permission form.  The permission form must also be signed by the child’s health care provider.  Please use the links below for a copy of the district's prescription medication permission form.
 
The medicine must be in the original container with the label on it.  A responsible adult must deliver the medication and permission form to the school.  The medication must also be picked up by an adult.  No medicine can be sent home with a child.  Medications cannot be left in the health room over the summer; therefore any medications not picked up at the end of the school year will be disposed of accordingly. 

Prescription Medicine Permission Form

Prescription Medicine Permission Form (Spanish)

 

Other Medication Forms

Self-Medicating/Monitoring Provider Form

Self-Medicating/Monitoring Parent/Guardian Form

Self-Medicating/Monitoring Student Form

 

 

 

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