Regulations for medication at school:
- No student is allowed to have medications at school (including over the counter medicine and cough drops) without a note from the doctor.
- There are different forms for different medications which is discussed in more detail below.
Please click on the link for more information: Regulations for Medications at school
Forms required for medications at school:
There are three different forms required for medications at school depending on what medication your child needs. Click on the links below to download the form that pertains to your child. In addition to the Medication Authorization form, you must fill out a HIPAA form (see below for information). Please download the form that you need, print it, and take it to your child's physician to be filled out.
- General Medication Authorization (any medication to be taken at school that ISN'T an inhaler or EpiPen) that needs to be signed by both the parent/guardian AND the physician in order for the medication to be accepted at school:Medication Authorization
- Asthma (Inhaler) Action Plan (any medication listed on this form is for asthma ONLY) must be signed by parent/guardian AND their physician Asthma Action Plan
- Epipen (Anaphylaxis) Action Plan (for ANY child that has a severe anaphylactic allergy requiring an Epipen) must be filled out by the parent/guardian AND the physician*. Epipen Action Plan
*Please make sure your physician writes a detailed description of how/when the Epipen needs to be distributed to your child if known allergy is ingested
HIPAA* Guidelines for students
In case there is an emergency or your student has medical concerns that need to be discussed with physician, we must have a HIPAA* form filled out in addition to one of the the above forms (Medical Authorization, Asthma Action Plan, or Epipen). Our school is not permitted to contact any physician/physician's office/psychologist/psychiatrist/etc for any reason without written consent by the parent/guardian. Please click on the following link for the HIPAA form, print the form, fill it out, and bring it to the health office along with the medication (must be in the RX box if from a pharmacy), and medical form that was filled out by the doctor.
*HIPAA: Acronym that stands for the Health Insurance Portability and Accountability Act, a US law designed to provide privacy standards to protect patients' medical records and other health information provided to health plans, doctors, hospitals and other health care providers. Developed by the Department of Health and Human Services, these new standards provide patients with access to their medical records and more control over how their personal health information is used and disclosed. They represent a uniform, federal floor of privacy protections for consumers across the country. State laws providing additional protections to consumers are not affected by this new rule. HIPAA took effect on April 14, 2003
Please call the Dayna Davis (Health Technician) at La Mesa Dale with any questions.