If under exceptional circumstances a student is required to take a prescription medication
during school hours, and the parent/guardian cannot be at school to administer the
medication, the procedure below is to be followed:
1. The student will only be allowed to take the prescription medication with a signed
parental/guardian consent on file with the school and upon written order of a
practitioner (as defined in I.C. 16-42-19-5).
2. Students will be allowed to take prescription medication only if the original prescription
label is on the container with the appropriate information and indicating:
a. name of student
b. name of medication
c. time to be administered
d. dose to be administered
e. date medication ordered
f. prescribing physician
g. date on bottle must be for the current school year
3. The medication is to be sent to the school with the form below completed.
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