Download the Medication Authorization Forms below.

If your child needs to take medication during the school day, please be aware of the following highlights from the Dearborn medication policy:

  • Any medication should be taken at home if at all possible
  • Medications needing to be given at school are to be brought to and from school by a parent/guardian.
  • Medications must be in their original container, labeled with:
    -Name of student
    -Name of medication
    -Time of administration
    -Route of administration
    -Expiration date
  • Medications (prescription and over-the-counter) must be accompanied by written, signed instructions from a physician and signed authorization by a parent/guardian.  These forms must be renewed at the beginning of each school year.
  • It is the responsibility of the student to report to the office at the time the medication is to be taken unless prevented by a disability or other reason.
  • Refill of the prescription is the responsibility of the parent/guardian.
  • Expired medications will not be administered.
  • Medications will be discarded if not picked up on or before the last day of school.

School Medication Forms