Per District Policy 5330 & Regulation 5330, Permission slip for medication to be administered to students in school by the school physician, a certified or non-certified school nurse, a substitute school nurse employed by the district or the student's parent/guardian. 

For students K - 6, if medication is needed at school aside from those listed on the Asthma, Anaphylaxis or Seizure Action Plans, please complete the "Permission for Administration of Medication in School Form".

Per District Policy 5330 & Regulation 5330, District-wide form for permission for self-administration of medication for a potentially life-threatening illness.

For students 7 - 12, in addition to an action plan submitted (for Anaphylaxis, Asthma, and/or Seizures), please also include the "Permission for Self-Administration of Medication in School" for all inhalers and epipens. If unable to self-carry, please reach out to your building nurse. Note: Students who participate in school sports and clubs will need to be able to self-administer their emergency medication.