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49 Antietam St, Devens, MA 01434    (978) 772-3293    (978) 772-3295



The school physician has given permission for students to receive acetaminophen (Tylenol®) or ibuprophen (Motrin® or Advil®) or Tums® at the school with a signed Medication Administration Permission section of the Student Emergency Health form. A brief health assessment will be done by the School Nurse to determine need. This will include checking for fever, pain from an injury or orthodontic procedures, headache, etc.

Other medications to be administered during the school day (both prescription and over-the-counter) need to have written parent/guardian permission and physician authorization and must be supplied by the parent/guardian. Medications (including inhalers and EpiPens) must not be brought to school or used by any student without a health care provider’s written order and the written permission of the student’s parents/guardians and the School Nurse. If a student requires over-the-counter medication or prescription medication while in school, it should be brought to the Nurse’s Office at the beginning of the day in the original container by a responsible adult. No student is permitted to self-administer any medication at school (including inhalers and EpiPens) without written parent/guardian permission and prior authorization by the School Nurse. Student’s over the age of eighteen do not need parental permission but must comply with the school’s medication policy.


Any medication, prescription or over-the-counter, that needs to be administered during school hours, must be done so with the authorization of the School Nurse. No student may carry either prescription or over-the-counter medication including inhalers, at school without the permission of the School Nurse.

All medication brought to school must be properly labeled and in its original container. A health careprovider’s order must accompany all medication brought to school.A parent/guardian must also complete and sign a Medication Authorization form or other note with the following information:

  • Name of student and date of birth
  • Name of medication
  • Reason for administration in school
  • Dosage
  • Dosage interval (i.e., every 4 hours)
  • Duration of administration (i.e., one week)
  • List of food or drug allergies
  • Name of student’s physician (or prescribing healthcare provider)
  • Potential side effects (if any)
  • Parent/Guardian emergency telephone contact numbers.

With parent/guardian permission, the School Nurse can administer acetaminophen (Tylenol®) or ibuprophen (Motrin® or Advil®) or Tums® to students under the age of 18 (parent/guardian permission is not required for students over the age of 18). The School Nurse or other designated school personnel will do a nursing assessment and brief health history update to determine need. This will include observation for possible fever, pain from injury, orthopedic or orthodontic procedures, headache, etc. The dosage of the medication has been determined by the protocol established by the School Physicianand is on file in the Nurse’s Office.

If your child requires long term administration of medication while at school (i.e., Ritalin, insulin, inhalers, etc.) or emergency medication treatment (i.e., EpiPen) please contact the School Nurse for further information and forms necessary for administration.

Please contact the School Nurse with any additional questions or concerns you may have.

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