Mira Costa High School

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Medication at School Form

Medication at School Form

If it is necessary for a student to take medication at school, both prescription and non prescription, parents must submit a written statement of instructions from the physician and a parental request for assistance in administering the physician's instructions. The “Request to Take Medication at School” form is available on the District’s website at http://mbusd.org/health.htm, and must be re-submitted to Mira Costa High School at least annually, or more frequently if there are any changes. The form must be completed by both parent and physician. The medication must be brought to the health office by an adult, in the original, labeled container. Emergency medicines such as Epi Pens or inhalers may be carried by the student when authorized by the physician and parent. A second Epi Pen or inhaler should be kept in the Health Office for emergency use.