Self-Medication Form-English

Student must be able to demonstrate the ability, developmentally and/or behaviorally, to self-administer prescription and
non-prescription medication.
K-8: Self-medication of prescription and non-prescription medication is only allowed when a student must carry such medication
on his/her person for immediate access.
9-12: Self-medication of prescription, excluding controlled substances and nonprescription medication may be allowed subject to the following:
Self-medication form is required for all regularly scheduled prescription medication, which a student will take at school for more than 10 school days.
A permission form must be submitted for self-medication of all “as needed” prescription medications, which a student carries with them at school. (This includes inhalers).

Self Medication Form English.pdf, 23.04 KB; (Last Modified on June 15, 2016)