It is strongly recommended that students take their medications at home. However, we recognize that there may be special circumstances in which a student may require medications during the regularly scheduled school day.

Medication is defined as prescription medication or an over the counter medication. No student may carry or take any medication at school without written authorization from the parent/guardian and/or a medical provider.

If your student requires prescription medication at school we require an Authorization to Dispense form to be filled out by the parent and the physician. The form is required to be filled out and returned to the school nurse before the administration of any medication in the school setting. The form must be filled out each year and for any changes in the administration/dose of the medication(s). Prescription medication must come to the school in the original container labeled for the student by a pharmacist in accordance with law, and must be administered in a manner consistent with the instructions on the label. Parents may request a bottle for home and a bottle for school from the pharmacy.  Any unused medications will be returned at the end of the school year.

Staples/Motley Schools do not supply over the counter medications (like Tylenol, ibuprophen, cough drops, etc.) Parents may provide over the counter medications in the original bottle/packaging to be kept in the nurse’s office for their child’s use only. An Authorization to Dispense form must be filled out by the parent/guardian prior to any medication being administered in the school setting. Any unused medications will be returned at the end of the school year.

The State of Minnesota requires all children attending school to have received specific vaccinations or to have an exemption form on file with their school district.

Immunization Requirements 

To complete your child’s health record, we need either: 

1. Documentation of all required immunizations or 
2. Medical or non-medical exemption documentation

To provide immunization records: Please complete the first page of the Minnesota Department of Health Immunization Form included below. You may be able to gain the needed information for the form by calling your child’s primary care provider or downloading your child’s immunization records from their secure website. You can return physical forms using the return envelope included in this packet, or you may choose to send them by email or request a fax be sent from your child’s primary care provider to your site’s school’s health room.

To find immunizations for your child: Visit your child’s primary care provider or contact your local county public health agency. 

To provide a non-medical exemption: If a student has a medical reason or if their parent/guardian is conscientiously opposed to any or all vaccinations a legal exemption form is available which must be notarized, signed, and returned to the school before the onset of the school year.Exemption forms will need to be re-submitted if there is a change in immunization requirements. Notaries are available on-site in all school and district offices. 

Specific Illnesses exclusion guidelines for schools

It is important when a student has a chronic or potentially life threatening condition (such as asthma, severe allergies, diabetes or seizures), that the parents, physician and school nurse collaborate to create a plan to meet the student’s specific health needs. Your child will need a completed form submitted to the school nurse at the beginning of each school year. 

This health information will be shared with appropriate school personnel, as needed, with due respect to confidentiality. For your convenience, here are those forms:

Special Diet Statement

Allergy/Anaphylaxis Emergency Care Plan

Seizure Action Plan

Asthma Action Plan