Mrs. Whitney Cundy, RN BSN
The medication administration authorization form must be completed fully in order for the school to administer any medication. A new form must be completed at the beginning of every school year, for each medication and each time there is a change in dosage or time of administration of medication. An adult must bring in any form of medication to the school nurse or the school office, along with the form below. All prescription medications must be in the container given to you by the pharmacist or prescriber, and non-prescription medication must be in the original container with the label intact. Please download the form to the left if you need.