Authorization for Administration of Medication 2010-2011

All medication must be brought in the prescription container with the original pharmacy label. Prescriptions must be labeled with the student's name, date, name of medication, medication dose, and time to be given. Medication cannot be administered if it is not in the original container. Please ask your pharmacist to provide two labeled bottles--one for home and one for school.

Please arrange medication administration outside of school hours if at all possible. A signed authorization form must be completed for each medication. Select an authorization form format to print:

  Authorization For Administration Of Medication

  Authorization For Administration Of Asthma Medication

Medical Statement for Students Requiring Special Meals 2009-2010

This statement if effective for one school year. A signed authorization form must be completed for each student.  Select an authorization form to print:

  Microsoft Word    Adobe Acrobat

All attendance and tardy matters should be sent to the school secretary . If you would like information about enrollment, registration, school fees or other administrative issues, please contact Mrs. .  The school office phone number is 402-339-8706.

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