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The following policy is in place to ensure the health and safety of children who may need medicine during the school day. Our school district requires that the following forms be on file in your child's school health record before your child can receive any medicine in school. This policy follows the Department of Public Health's regulations: 105CMR 210.000.

DIRECTIONS:

Complete parental consent side of form.
Take the form to your child's licensed prescriber (physician, nurse practitioner, etc.) to have the back of the form filled out and signed.

Bring this form and the medicine to your child's school nurse. Make sure both sides are completely filled out.

New forms are required for any medicine or dose change and at the beginning of each school year. Medicines must be in the original pharmacy bottle and contain no more than a 30 day supply. Ask your pharmacist to provide separate bottles for school and home.

The number of tablets (of controlled substances only) will be counted and recorded on the daily medication log by the nurse.

For safety purposes, students are not allowed to transport medicine to and from school.
You need to bring it in and pick it up. With prior arrangement with the nurse, some students can carry their inhalers or epi-pens.

The nurse can not start any medicine until the forms have been completed and returned, therefore try to get the forms in as quickly as possible.

PLEASE NOTE:

If your child is to receive a short term medicine (less than 10 doses) of an antibiotic or over the counter medication, just fill out the parental permission side of the form. After 10 doses of any medicine (prescription or OTC), a doctor's written order is required.

Remember to pick up the medication upon completion. All medicines remaining in the nurse's office will be discarded on the last day of school at the end of the school year.

This policy is for all medication: prescription as well as over the counter.
If there is a change in the dose, time or type of medication, new forms are required from you and the physician, newly labeled containers are required from the pharmacy and a new medication administration plan will be written by the nurse.