Medication Consent Form Information
Medication Administration Guidelines
If a student is in need of a prescription or over-the-counter (OTC) medication that will need to be administered during school hours, on an overnight field trip, or at an athletic event/practice the following must be completed:
Medication Consent Form (available online)
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A separate Union Academy medication consent form for each medication and for each child.
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Each medication consent form must be signed by the parent/guardian and a physician.
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Each medication consent form must be filled out in its entirety. Consents with missing information will not be honored.
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Verbal or over-the-phone consents will not be accepted; however, a faxed Medication Consent Form that is complete, including signatures from the parent/guardian and the physician will be allowed.
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All medication consent forms are valid for the current school year. All medications must be picked up by the end of the school year, and resubmitted for the next school year with an updated medication consent form. Medications not picked up by the last day of school will be discarded.
Supplying Medication
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The parent/guardian must supply any medication they would like their child to receive both prescription and/or OTC. There will not be any “School Stocked” medication available.
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Prescription and OTC medications must be supplied in their original container. The dispensing directions must be on the outside of the container and agree with the Medication Consent Form.
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Please be mindful of expiration dates for medications before bringing them to school. The school cannot dispense any medication that is out-of-date. If a medication expires while at school, the school will notify the parent/guardian to replace it.
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A parent/guardian must deliver the appropriate medication to be dispensed to the school health room. Students are not permitted to carry or self-administer prescription or OTC medications without an appropriate Medication Consent Form on file.
Self–Carry Medication
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The Self-Carry Consent Form and Medication Consent Form must be signed by the physician, parent, student, and school nurse prior to the student carrying the medication.
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Only Emergency/Lifesaving Medication may be carried by a student, ex; Epinephrine, Albuterol, Insulin, Glucagon, Pancreatic Enzymes.
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The student must properly demonstrate to the school nurse the ability to safely carry and administer the medication before permission is given to Self-Carry.
Field-trip Medication
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If a student will require medications (prescription or OTC) to be administered during an overnight field trip, the Medication Consent Form along with the medication need to be delivered to the school health room two weeks prior to the field trip departure date for processing. Medications will not be accepted the day of the trip.
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Medications that are on file for the current school year will be sent on the field trip to be administered as needed.
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A parent/guardian must deliver the appropriate medication to be dispensed to the school Health Room. Students are not permitted to carry or self-administer prescription or OTC medications without an appropriate Medication Consent Form on file.
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A parent/guardian serving as a chaperone is authorized to medicate their own child, and is not required to submit the medication or forms.