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It is important that I am aware of any health changes of conditions of your child so that I may treat and care for them safely and effectively.  Please notify me of any new illnesses, injuries, or treatments.


If medication MUST be given to your child during school hours, the requirements are as follows:

  • Medication MUST be brought in by an adult
  • Medication must be in properly labeled, original bottles
  • A doctor's note/order AND parental consent must be given to the nurse


Please have your child's doctor fill out the form below.  Please make aure the parent or legal guardian signs in order to give consent for the medication administration.  

School Medication Form 


Please note: This form MUST be filled out annually.  The orders are good for current school year only.


Please see the District's Medication Policy:

Administration of Medication Policy #5330