Medication Administration Consent Form

In accordance with school policy, medication(s) should be given at home before and/or after school. However, when this is not possible, prior to receiving the medication at school, each student must provide the school nurse with a Medication Administration Consent form signed by the student’s parent/guardian and Medication Order from a licensed prescriber. All medications must be in an original prescription bottle/container from a pharmacy or in the original packaging.

Medication Administration Consent Form