Medication Authorization Form

To gain authorization for a new medication or change in medication, submit the Medication Authorization Form along with the prescription medication in its original container from the pharmacy to the school nurse at the beginning of the school day. This can also be done prior to the start of the school year for routine medications. Download this form and have it completed, signed and dated by the health care provider who prescribed the medication.
Medication_Authorization_Form.pdf, 376.42 KB; (Last Modified on June 8, 2015)