Section 10.52.F.2 - Parental Consent for Self- Administration of Medication
Prescription medication must be in the original containers prepared by a pharmacist and labeled, including the patient name, name of medication, dosage, and time to be given. An over-the-counter medication must be in the original packaging, with all the directions, dosages, compound contents, and proportions clearly marked. Student misuse of medication being self-administered may result in seizure and disciplinary action.
A signed physician's statement indicating the necessity must accompany any request for self-administration of medicine, whether it is prescription or over-the-counter medicine except in the case of medicine for diagnosed anaphylaxis and breathing disorders requiring handheld inhaler devices. In these cases the student's name on the prescription label is sufficient for the physician's recommendations.
Parents accept full responsibility and liability for their student's actions in regard to use of medication at school and school functions.
I understand and agree that in the event of a medication related
emergency, one of the following individuals will be contacted. If the
individuals are unavailable, 911 (Emergency Medical Services) will be
Reference: Section 10.52 Form 10.52.F.2