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Non-prescription Medication Form

Non-prescription Medication Form

For students in grades 9-12 only, Northwest Allen County Schools allows the school nurse to administer non-prescription medication one time per day and up to three times per semester if parental permission has been given. 

To grant permission, use the form linked above and send it to the school office. This will allow the school nurse to administer two ibuprofen once per day as needed, up to three times per semester. The form will remain on file for the current school year only. For additional medication after the limit has been reached, use the Medication Permit Form.