Form (J7) | Administration Of Medication | 2020-2021

To be completed by the child’s parent(s)/guardian(s). A new form must be completed every school year. Kept in the school nurse’s office or, in the absence of a school nurse, the Building Principal’s office.

The primary responsibility for administering any medication (either prescription or over-the-counter) to a child belongs to the parent(s) or guardian(s). They are encouraged to adjust the schedule for all medications so that none need to be given during school hours. However, the school recognizes there may be some children whose daily attendance at school requires some medication be administered during the school day.

The following procedures apply to the administration of all medication. They are designed for the safety and protection of all children.

  1. A completed “Medication Authorization Form” (signed by both the physician and a parent/guardian) must be submitted to the school before any medication can be administrated or stored at school. These forms are available in any school office.
  2. Only medication authorized by a physician will be administered at school.
  3. Medication must be bought to the school office by the parent/guardian.
  4. The schoolwill store medication in a locked cabinet. No student will be allowed to carry his/her own medication for self-administration, except for asthma medications or epinephrine auto-injector (“EpiPen”) which a student may possess for immediate use.
  5. Medications must be in its original labeling – either in its commercial packaging or in its container from a pharmacy with the original labeling.  (Duplicate containers are readily available from pharmacies for this purpose.) The container shall display the student’s name, medication name, direction for administration, dosage, prescription number if applicable, dates for administration, dosage, prescription number if applicable, dates for administration, prescriber’s name, and pharmacy contact information if applicable.
  6. All medication will be self-administered by the child with adult supervision unless otherwise indicated by the physician.
  7. Any change in dosage or directions must be submitted in writing by the parent/guardian. The school reserves the right to verify any questionable changes with the physician.
  8. The responsibility for remembering to take a medication is the student’s. If this is not possible, the school will cooperate with the parent/guardian to determine a workable alternative.
  9. All unused medications shall be picked up by the parent/guardian when a medication is discontinued and at the end of the school year.
  10. A new “Medication Authorization Form” is required for each school year.
  11. For each field trip, a written request must be submitted to the building principal for the student to receive needed medication during the field trip.