Prescription & Over-the-Counter Medication Forms

If your student needs to take a medication prescribed by a physician during school hours, please complete this form, sign, and obtain physician signature. This form should be used if your child requires assistance with taking medication. Medication will be stored in the school office or nurse’s office. A parent/guardian MUST bring the medication to the office - do not send the medication to school with your child. Return completed and signed form to your child’s school:  

Medication Form 1

If your student needs to take a medication prescribed by a physician during school hours, please complete this form, sign, and obtain physician signature. This form should be used if your child can take a medication independently, but must be supervised by school staff. Medication will be stored in the school office or nurse’s office. Students in grades kindergarten through eighth grade are required to store prescription medications in the office. If a parent/guardian of a high school student would like a prescription medication stored in the office, this form should be used. Return completed and signed form to your child’s school. 

Medication Form 2

If your student often takes an over-the-counter/non-prescription medication (example: Tylenol, ibuprofen, hydrocortisone cream, allergy medication, eye drops, Tums, etc.), this form should be completed and signed by a parent/guardian. Students in kindergarten through sixth grade are required to keep over-the-counter medications in the school office and will take medication supervised by school staff. Parents/guardians are responsible for supplying the school with the medication in its original container from the manufacturer. Return completed and signed form to your child’s school. 

Please note: If an over-the-counter medication needs to be taken on a daily basis, a health care provider's signature is required. 

Medication Form 3

Students in grades seven through twelve are allowed to carry small amounts of over-the-counter medications in their original containers in their backpacks. Parents are responsible for ensuring students understand and are capable of self-administering over-the-counter medication, and medication may not be shared with other students. Parents/guardians of seventh through twelfth-grade students do not need to complete this form. If a parent/guardian of a seventh through twelfth-grade student would like an over-the-counter medication to be stored in the office, this form should be used.