• A written request from the parent to administer the medication.

• A written order from the physician indicating the diagnosis for the medication, dosage of medication, route of administration and the frequency of medication. *

• THE MEDICATION MUST BE IN A PRESCRIPTION LABELED CONTAINER. OTC medications must be in the original container from the pharmacy.

• Parents must bring the medication to school, over the counter medications are to be provided by the parent too. NO STUDENT is to transport medication to or from school.

• The only exception is students that have been given a note from their parent and their Physician to carry and self administer an inhaler or an epi pen

• At the end of the school year parents are requested to pick up their child's medication. Medication not picked up by the last day of school will be discarded.

Medication During School Hours Form

Requirements for Self Administration Self Medication