Dana Middle School

Medical Authorization Forms

Sharing vital medical information with school personnel is critical. Forms and information can be found here.

It seems every school year more and more students are diagnosed with conditions such as asthma, attention deficit disorder, life threatening allergies, and diabetes. Important forms can be found by reading more here. Because it is important to be adequately informed and prepared for incoming students with medical concerns, we would like to make a few health forms available on-line. If applicable, please utilize these summer months to have the Medication Authorization form(s) completed by your family physician.

Our school district requires a medication authorization form for all students needing inhalers and other prescribed medications. A signed physician order must accompany all medications brought to school for dispensing by the school nurse or designated staff. Without a physician’s directive, no medications, even temporary cold medicines and over-the-counter medications can be dispensed at school. These authorization forms need to be renewed each school year.

In preparation for next school year, links to important medical forms are available below.

Note: Typically students are not allowed to carry their own medications during the school day. Exceptions are allowed if the appropriate paperwork is on file in the health office.

• Anaphylaxis notebook.pdf (2 MB)
• Asthma Action Plan.pdf (41 KB)
• Diabetes Notebook.pdf (2 MB)
• Physician Recommendation for Medication.pdf (45 KB)