Medication Authorization Form

Medication Authorization Form

Note: This form must be completed if your son/daughter is on daily/scheduled medication or has a need for PRN emergency medication. This form may also be used for occasional dispensing of required medications during the school day (e.g. prescription antibiotics.)

All prescription drugs must be in the labeled container as received from the pharmacy.

All over-the-counter medication must be in the originally purchased and labeled container and will be administered only with written or phone instructions from a parent or physician.