When students need medication at school, Salem Public Schools nurses are prepared to help in accordance with the district’s Medication Administration Policy #5709.

In order to safely administer any medication to students, the following conditions must be met:

  • A licensed provider must submit a medication order to the school nurse.
  • The parent/guardian must submit a signed consent form to the school nurse.
  • Medications must be in pharmacy labeled or original manufacturer’s packaging.
  • Medications must be kept in the health office and may not be carried by the student, unless certain conditions apply.
  • The school nurse will develop a safe medication plan for the student.

Standing orders for over-the-counter medication (e.g. Acetaminophen) written by the school physician may be administered in accordance with the protocol for each medication if the parent/guardian has completed and signed Permission to Treat Form. This form must be submitted annually to the school nurse.

We recommend that families complete a Release of Records Consent Form to allow your school nurse and your child’s health care provider to share information about your child’s school health plans.

Medication Forms

Parent/Guardian Consent Form

Permission to Treat Form

Release of Records Consent