If your child will need medication to be given at school this school year, please complete the following
medication form. A new medication form is needed for each new school year so even if you have completed a medication form in the past, a new one is still required.
The law states that a practitioner's signature is required if the medication is a prescription OR the dose written by parent/guardian on medication administration consent form for an over-the-counter medication differs from the recommended therapeutic dose on the medication label.
Due to not receiving many signed medication forms from the providers' offices this past school year, we are asking parents to get their child's provider to sign the medication form PRIOR to giving it to the school office. We will no longer be offering to fax the medication forms to provider's offices/clinics for signatures.
The student's parent/guardian must bring the medication in the original (manufacturer's or pharmacy-labeled) package and the package must list the ingredients and recommended therapeutic dose.
Students are not allowed to keep their own supply of medication in their lockers. Needed medication must be administered through the school office.
STOCK MEDICATION
As a courtesy, the School District of Westfield will offer stock (school supplied) Acetaminophen and Ibuprofen to middle school and high school students (ages 12 and over) while at school as needed during the current school year. Parent/guardian consent is needed for students to receive these stock medications -Stock Medication Consent Form.
Stock medication will be administered according to package directions (stated below):
Acetaminophen 500 mg tablet - One tablet every 6 hours for headache/pain
Ibuprofen 200 mg tablet - One tablet every 6 hours for headache/pain
This consent covers occasional use only, and will be given at the discretion of the school nurse or designated school staff. Any student that requires any of these medications on a regular basis will be asked to provide their own supply of medication and will need a medication consent form filled out by the student's parent/guardian and medical provider. School supplied medications will not be given to students more than ten times during the school year. If your child reaches the tenth time, a letter will be sent home, alerting you that your child has depleted their doses for the school year.
School supplied medications will only be given to students during the school day; they will not be available on school sponsored trips, athletic events, or after school activities.
