Dear Parent/Guardian,  

For students with a medical condition requiring medication at school, please make sure the following are completed  

  • Have your healthcare provider complete and sign the Parent Request and Provider Order for Medication form for any medications or treatments needed by your child at school. 

  • This applies to both prescription and over-the-counter (OTC) medications 

  • Make sure that both your signature and the healthcare provider signature are on the form along with current date 

  • Bring all documents and medications to the front office  

  • ALL medications must be brought to school in the original pharmacy-labeled package 

  • Please see the pictures below for further explanation

  •  The label of the medication should match the doctors order, as pictured below.

Thank you from your school nurse! 

Martha Fitzhenry, RN 919-695-5465