HMS Medication Authorization Form

• Medicine must be in the original and current prescription bottle or original packaging.
• Staff will not give the first dose of any medication unless it is an emergency.
• Expired medication will not be given.
• Over-the-counter medications are given according to the  dosing directions on the bottle. Any other dosage must have an order from the doctor.
• The district will not administer any medication that is not regulated by the U.S. Food and Drug Administration (such as herbal remedies, vitamins, essential oils, CBD products, and/or derivatives).
• Per the Student Handbook: Due to the risk of liver damage, a physician's order is required if the student needs to take more than 25 doses of any combination of medication containing acetaminophen (such as Tylenol) on Non-Steroidal Anti-Inflammatory Medication (such as Ibuprofen, Aleve, Excedrin Migraine, etc.) in a given school year. The school only stocks generic Tylenol, and permission is obtained from the yearly enrollment process. Other medications mentioned need to be provided by the parent/guardian.
• Medications not picked up by the parent/guardian at the end of the school year will be destroyed, unless other arrangements have been made with the school nurse.
• Unless otherwise noted above, all medication authorizations will extend through summer school.