Medication Forms and Action Plans

All students who take medication during the school day must have the proper forms on file (doctor's order and parental consent).  No child may transport his/her own medication.  The medication must be brought to school in the original and properly labeled container by the parent or adult designate. This includes both prescription and over the counter medications.

The top three forms should be filled out for any medications to be administered at school (click on the name of the form to access):

Physicians Medication Order Form
Parent/Guardian Consent for Medication Administration Form
Medication Administration Plan

In addition, if your child has a seizure disorder and/or seizure medications, please have your child's physician complete the Seizure Action Plan. You still must fill out the Parent/Guardian Consent Form and Medication Administration Plan, linked above:

Seizure Action Plan

In addition,  If your child has an allergy that requires medication administration, please have your child's physician fill out the Alllergy Action plan:

In addition, if your child has asthma and/or asthma medication please have your child's physician complete the School Asthma Record, along with the medication forms.

If your child has life-threatening allergies, please fill out the Allergy Action Form .

If your child has diabetes, please provide the school nurse with a Diabetes Care Plan from their Endocrinologist along with applicable medication.

Thank you for your cooperation.