This form should be completed by parents if they would like their child to be able to carry any type of over the counter medication while at school.

This form does NOT need to be completed if you do NOT want your child to carry medication. Instead, if you want your student to be able to get Ibuprofen, Tylenol, or cough drops from the office when needed you need to select that during the registration process. If you need to change your selection or are unsure of your selection you may contact the office or the school nurse.

Medication must remain in the original pharmacy or manufacturer’s container clearly marked with the student’s name, medication name and dosage required.

This form must be completed ANNUALLY and will not renew for the next school year.