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Use of Medication Policy

To review the entire District policy on the use of medication, please read the entire policy located at the following link: 

Policy No. 210 - Use of Medication

The following Attachments are associated with Policy 210:

Attachment 1: Authorization for Medication at School - A parent/guardian and physician must complete this form for any medication that needs administered during school hours. 

Attachment 2: Medication Variance Form

Attachment 3: Parent Consent for Standing Order Medications - A parent/guardian must complete this form if they want their child to be able to have Tylenol, TUMS, or Benadryl administered during school hours.

Attachment 4: Authorization for Self-Administration of Medication at School - A parent/guardian and physician must complete this form if the student needs to carry the Albuterol inhaler or EpiPen on their person during school hours. 

Attachment 5: Student Contract To Carry Asthma Inhaler - If the student is to self carry the Albuterol inhaler on themselves while at school, this additional form must be completed by the parent/guardian and student.


If your child requires medication during school hours, the appropriate form listed above is required BEFORE medication will be administered at school. The completed form is only good for the current school year. A NEW form must be completed at the beginning of each new school year.

Please call your school nurse if you have any questions.