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Medication Administration Form


As a school district, we understand that in order to be safe and able to benefit from the educational program, some students will need to take medicine at school. If your student must have medication of any type given during school hours, including over-the-counter drugs, you have the following choices:

  • You may come to school and give the medication to your student at the appropriate time(s).
  • You may obtain a copy of the Maryland Medication Administration Form from the school nurse. Take the form to your student's health care provider and have him/her complete the form by listing the medication(s) needed, dosage, and number of times per day the medication is to be administered. (One medication per form.)
    • Every prescription or over-the-counter medicine must have a signed physician's order and parent signature authorizing the school staff to administer the prescribed medication.
    • Prescription medicines must be brought to school in a pharmacy-labeled bottle, which contains instructions on how and when the medication is to be given.
    • The pharmacy label and the physician's order must match exactly.
    • Over-the-counter medications must be received in the original, unopened container and will be administered according to the health care provider's written instructions.
  • You may discuss with your healthcare provider an alternative schedule for administering medication possibly outside of school hours.

School personnel will not administer any medication to students unless they have received a medication form properly completed and signed by the prescriber and the parent/guardian, and the medication has been received in an appropriately labeled container which matches the physician's order exactly. In fairness to those giving the medication and to protect the safety of your child, there will be no exceptions to this policy.

If you have questions about the policy, or other issues related to the administration of medication in the schools, please contact your school nurse.

Medication Administration Form

Medication Administration Form-Spanish

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