A Note Regarding Prescription Medicine:
In order for prescription medications to be given at school, a written statement or an order from the physician’s office must
accompany the medication. The physician’s statement must contain the
The student’s name
The physician’s or other licensed prescriber’s signature and
The name, route and dosage of the medication
The frequency and time of administration
The date of the order
This applies to daily medications and occasional or as needed
medications, such as inhalers and antibiotics.
An adult must deliver the medication to Maple Street School in a
labeled prescription bottle with the student’s name and prescription
information. Any medications sent in plastic bags, envelopes, or
other containers, even if labeled by a parent cannot be given at
Any changes to an order, such as a new dosage, will require a new
Medications will be kept in the nurse’s office and may not be carried
in a student’s backpack, lunchbox, etc.
Forms are available at MSS to bring to your doctor, or a form from
the physician’s office is acceptable.
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