All prescription medications must be in their original containers and placed in a ziploc bag with the student’s first and last name on it.

Please complete a Medication Form for EACH medication.

Medication Authorization

EACH MEDICATION MUST BE ON ITS OWN FORM. To complete multiple forms click Add Another Medication at the bottom of this page.

Form must be complete and medication must be in its original container to be accepted.

We apologize for redundancies on this form. Each form will be printed and given to nurse for quick reference. Please provide accurate information. Thank you!

Medication

High School Winter Retreat