Health Forms

School administrators and staff are required to administer medication within the framework of the procedures outlined in Diocesan policy and summarized in the Parent Handbook.


All prescription and over the counter (OTC) medications may be administered during the school day under those policies including:

- When there is a health care provider’s written order signed by the parent/guardian requesting the school administer the medication.

- When the medication is brought to the school in its original container stating the name of the student, the dosage, and method of administration prescribed by a physician. It is the parent’s or guardian’s responsibility to notify the school of any changes to the original prescription. The new prescription must also be brought to the school in the original container.


- When the appropriate medication authorization form has been completed, signed and accompanies the medication.

OTC Medication Form

Anaphylaxis  Action Form

Asthma Action Plan