Medication Forms

  • Notice to Parents Regarding Medication Administration at School:

    Parents should always attempt to arrange their student’s medication to be taken outside of school hours. If a student must take medication during school hours, the following guidelines must be met. Per WI Law-Stat 118.29: An Authorization for Administration of any medication (prescription and OTC), by school staff, must be completed before the medication can be administered in school. All medications must be in their original containers.

    Allergy Action Plan
    To be completed at the start of every school year for students with life-threatening allergies.

    Asthma Action Plan
    To be completed at the start of every school year for students with asthma.

    Diabetes Emergency Action Plan
    To be completed at the start of every school year for students with Diabetes.

    Medication Information for Parents
    Please read the district guidelines and state laws regarding medication administration during school hours.

    Permission for Over-the-Counter Medication
    To be completed at the start of every school year for all over-the-counter medications that need to be given to your student during school hours.

    Permission for Prescription Medication
    To be completed at the start of every school year for all prescription medications that need to be given to your student during school hours.

    Permission to Self-Carry Medication
    FOR HIGH SCHOOL ONLY: Must be completed at the start of every school year for your student to carry medication on them.