Medication Use at School: Daily medication or as needed medication given at school must have a matching medication authorization form completed annually and on file. The form must be signed by both a parent/guardian and a doctor, even for over the counter medication. An accompanying supply of medication must be provided to the school by parent/guardian. All medication must be given to the school in its original bottle/container Please check expiration dates on medications before turning them in to the office. A new medication authorization form and/or emergency plan is required yearly. Medication that requires modification prior to administration (ie. cutting a pill), must be pre-delivered to the office in such a way.
Allergy/Anaphylaxis: If your child has a life-threatening or severe allergy that may require epinephrine or other medication administration, we must have an allergy emergency action plan on file that is signed by a parent/guardian and a doctor. You must provide an epinephrine auto-injector and any other medications listed in the plan (i.e. Benadryl), to keep in the main office clinic.
Asthma: A prescribed, unexpired inhaler should be provided for school. An accompanying medication authorization form must be completed and signed by a parent/guardian and a doctor. An annual asthma action plan signed by a parent/guardian and a clinician must be on file. Accompanying medication(s) referred to in the plan must also be provided to the school.
Diabetes: An annually updated Diabetic Medical Management Plan (DMMP) must be on file that is signed by a parent/guardian and a doctor. Parent/Guardians must supply an emergency glucagon kit that is prescribed by the student’s managing clinician. Parent/Guardians are also responsible for supplying diabetic care items and any snacks or drinks for hypoglycemic episodes.
Epilepsy/Seizure: An annual seizure action plan signed by a parent/guardian and a clinician must be on file. Accompanying medication(s) referred to in the plan must also be provided to the school.
Physician’s Authorization for Procedures: This form should be completed in the event your child requires a specialized healthcare procedure be performed during the school day or in the event of an emergency. It must be completed annually and signed by a clinician and parent/guardian.
*When an emergency action plan is completed, it is NOT necessary to complete a separate Medication Authorization Form for any medication already included in an action plan (e.g., inhaler, EpiPen, Glucagon, Diastat, Benadryl, etc.)
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