Prescription Medicine for Children

A Note Regarding Prescription Medicine:

Dear Parents,

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
phone number
- 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 Harold Martin 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 
physician order.

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 HMS to bring to your doctor, or a form from
the physician’s office is acceptable.



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