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Forms for Medication at School

Forms for requesting prescription medication and OTC medication to be given at school

Adrenal Crisis Action Plan (PDF)

This form must be completed by a medical provider to authorize administration of medications to be used in an adrenal crisis.

Over the Counter Medication Form, English (PDF)

Permission for student to receive over the counter or short term prescription medication during the school day.

Over the Counter Medication Form, Spanish (PDF)

Permission for student to receive over the counter or short term prescription medication during the school day.

Provider Order for Medication at School (PDF)

Required for any medication (prescription or otherwise) that needs to be administered on a daily basis during the school day.

Provider Order for Medication at School, Spanish (PDF)

Required for any medication (prescription or otherwise) that needs to be administered on a daily basis during the school day.