Students who will need any over-the-counter or prescription medication administered while at school: Please complete the Request for Medication Administration form.

  • All medications and forms must be submitted to the office by the parent or guardian.
  • Over-the-counter medication must be in its original bottle and clearly marked with the student’s name and date of birth.
  • Prescription medication must be in its original bottle and clearly labeled with the name of the student, name of the medication, dosage, duration of treatment, and prescriber’s name.
  • Controlled substances must be received by the school nurse directly from the parent/ guardian. The school nurse and parent/ guardian must complete a pill count and hand-off form together.
  • Medication is not to be kept with the student, in a locker, in the classroom, nor is it to be administered by a teacher.

Students with a food or significant environmental allergy or asthma: Please complete the Allergy/ Asthma Action Plan form with your health care provider and submit it to the school nurse by the first day of school.

Students who plan to possess and self-carry emergency medications such as epinephrine or an inhaler: Please be sure to complete page 4 of the Allergy/ Asthma Action Plan form with your healthcare provider and parent/ guardian, and then make arrangements with the school nurse to demonstrate the skill as well.

  • Middle and high school students with life-threatening allergies are encouraged to self-carry an epinephrine auto-injector (i.e. EpiPen) if deemed appropriate by their healthcare provider and parent/guardian, in addition to providing the medication to the healthcare office.

Students with diabetes: Please complete the Diabetes Medical Management Plan with your healthcare provider and submit it to the school nurse prior to the first day of school.

All forms are found in the FORMS section of the handbook.

Last modified: 27 July 2021