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ALL MEDICATION
MUST BE BROUGHT TO THE HEALTH ROOM BY THE PARENT OR GUARDIAN.
Authorization to Administer
Prescription Medication form- Students who take prescription
medication at school must have a
physician's order on file in the health room for the medication(s). If the medication is to be carried by the
student, self administered by the student, and or needing supervised
administration by the health assistant or administered by the nurse the
doctor and parent need to indicate this on the form. APS medication forms can be picked up
in the school health office or you can download
the form from our website. The order must include the
student's name, name of the medication, dose to be taken, the time of
administration, and physician signature. The medication must be in a prescription labeled container that
matches the physician's written order. A separate form must be filled out for EACH
medication. If there is a dosage change in a medication, a new order
is required. At no time will a student be allowed to carry a medication
classified as a controlled
substances (example: Ritalin, Dexedrine, Tylenol with Codeine,
etc.).
Parent Authorization For
Over-The-Counter Medication form- Students who take over the
counter medication while at school must have this form on file in the
health room. This form is
available in the health room, but can also be downloaded. The medication must be in the original
bottle or packaging. APS
does not provide any over the counter medication. If the over the counter
medication is taken for more than five consecutive school days, a
physician's authorization must be obtained.
Asthma Action Plan-
Students with Asthma who need medication at school need this form on file in the health room and signed by their
doctor.
Allergy Action Plan-Students
with food allergies who require medication at school treat a food reaction
need to have this form on file in the
health room and signed by their doctor.
Students with Diabetes who need several forms on file in the health
room. Please come to the health room and speak with the nurse.
Medication
Destruction:
****** A parent/guardian will be notified to pick up any medication that
is no longer being used by the student due to discontinuation of a
medication or the school year is ending. From the time of notification, the
medication must be picked up within one week. Any medication that is not picked up from
the health room will be destroyed according to the APS policy.
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