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MEDICATION AUTHORIZATION FORM

For Illinois schools, a Medication Authorization Form is required for any prescription or over-the-counter medicine, needing parent/guardian and doctor signatures, detailing dosage, and renewed yearly; medication (in original containers) must be brought in by an adult, not the student, and filed in the health office, with specific rules for self-administration of inhalers/EpiPens. 

Key Requirements for the Form

  • Parent/Guardian & Physician Signatures: Both must sign the form.

  • Student & Medication Details: Student's name, grade, medication name, dosage, frequency, route, time and purpose for medication.

  • Physician Order: A doctor's order is needed for all medications, including OTC (over the counter).

  • Annual Renewal: Forms must be updated at the start of each school year or with any changes. 

Medication Delivery & Storage

  • Adult Delivery: Parents/guardians must deliver all medication to the school; students cannot transport it.

  • Original Containers: Medication must be in its original and sealed, labeled container.

  • School Health Office: Forms are filed in the health office, and medication is stored there (except for certain self-carried items). 

Self-Administration (Inhalers/EpiPens)

  • Illinois law allows for self-carry and self-administration of asthma inhalers and epinephrine (EpiPens) with proper forms and parent consent, allowing students to keep them for use at school or school events. 

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Medication Authorization form

Taft Elementary

1605 South Washington Street
Lockport, Illinois 60441
(815) 838-0408 Phone | (815) 838-5046 Fax

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