Please submit medication forms, and any medications that your child would need in school. If your child is self carrying any medication including inhalers, please submit the Asthma Care Plan and Medication Order form to the nurse. I have included all medication forms below. Thank you.
General
No medications can be given to students without a completed Student Medication/Treatment Request Release Agreement form.
This includes, but is not limited to, medications such as Tylenol® (acetaminophen) and Advil® (ibuprofen).
Student Medication and Treatments at School
Please use the Student Medication/Treatment Request Release Agreement form for general medication and medical treatment orders. This form is not recommended for students needing albuterol for asthma or an EpiPen® for anaphylaxis or emergency medications for seizures. For students requiring rescue medication for asthma, anaphylaxis, or seizures, please use the approved medication order action plans that are provided below.
Student Medication and Treatment Forms
Allergies/Anaphylaxis
The Anaphylaxis Medication Order and Plan is the preferred document for students with severe allergies who may need an EpiPen® at school. If the student requires other medications to treat allergies, such as Benadryl® (Diphenhydramine), please use the general medication form.
Asthma
The asthma medication order and plan is the preferred document for students with asthma.
Seizures
The Seizure Emergency Care Plan and Medication Orders for School and Childcare Settings is the preferred document for students who have seizures who may need emergency medications at school. If the student requires other medications, please use the general medication form.
