Letter & Form for Over the counter treatment.
New York State Education Law has requirements for students and medication in school Both a
written order from a licensed provider and written parental permission are necessary for any
medication given in school and/or during school activities. This includes Over-the-counter
topical first aid applications such as calamine lotion, vaseline, antibiotic ointment, antiseptic
wash etc. and prescribed medications such as Epi pens, inhalers, insulin etc. This permission
must be renewed on an annual basis.
If you would like your child to have access to Over-the-counter topical treatments or if they will
require any other medication during the school year, please have your licensed provider
complete the provider section on the Authorization for Medication forms.
The medication should be delivered by a responsible adult (not the student) to the Health Office
in a properly labeled, original container. Most pharmacists will divide prescription medication
into two containers if you request this. Over-the-counter medications must be in the original
manufacturer’s container with the student’s name affixed to the container. All medications must
be picked up at the end of the school year.
If your child needs to carry and administer his/her own medication at school and school
activities then the licensed provider must attest that your child has demonstrated capability to
Independent Carry and Self-Administer on the medication form. The category
Self-Administer with Staff Supervision allows students to administer his or her own
medication, under the direction of an unlicensed staff member, at school or school activities
such as sports practice and field trips without the presence of a school nurse.
Incomplete forms will not be accepted. If you have any questions or concerns please contact
your child’s school nurse. Thank you for your attention to this matter.
Tracey Ferreri, LPN