Note from the Clinic - Medications and Clinic Forms and complete any Health Plan Forms and/or the Medication Request Form that are applicable to your child.  Bring the completed form(s) to the clinic during Open House on August 8.


For the safety of all students at our school, below are several guidelines and necessary forms for medications and health plans.


Administration of prescription and over-the-counter medicine (even for a short period of time) is discouraged.
Parents should check with their physician regarding the need for medicines to be administered during school hours.  Medications prescribed for three times daily often can be given before school, after school, and at bedtime.


All medications, both prescription and over-the-counter, must be accompanied by Administration of Medication Request and brought to the school clinic by an adult.


All medications must be in the ORIGINAL CHILD PROOF CONTAINER.  Prescription medications must be in the labeled prescription bottle.  Pharmacists can give a duplicate labeled container with only the school dose.  It is the responsibility of the parent/guardian to inform school of any changes and update medication forms.

Medications stored in envelopes, baggies, etc., will not be administered.



Administration of Medication Request Form 2016

Allergy Plan Form 2016

Asthma Plan Form 2016

Seizure Management Plan Form 2016

Generic Health Management Plan Form 2016



All students must have up to date immunizations. 


7th grade students have an additional immunization update. 

All rising 7th grade students born on or after January 1, 2002 need updated Immunization Certificate (form# 3231) to be assigned a homeroom for 2016-17.  Please check with your healthcare provider or local health department if you have not submitted this form to your respective middle school.


The required Immunization Certificate (form# 3231) for the 2016-17 school year must have:

-----1 dose of Tdap (tetanus, diptheria, pertussis) vaccine

-----1 dose of meningococcal conjugate (MCV) vaccine.


If you have any questions, please email Lori Pirkle at