Permission for Administration of Medication in School

Per District Policy 5330 & Regulation 5330, Permission slip for medication to be administered to students in school by the school physician, a certified or non-certified school nurse, a substitute school nurse employed by the district or the student's parent/guardian. 

For students K - 6, if medication is needed at school aside from those listed on the Asthma, Anaphylaxis or Seizure Action Plans, please complete the "Permission for Administration of Medication in School Form".