Phone: (616) 254.6455 High School Nurse
Phone: (616) 254.6407 Elementary & Middle School Nurse
Fax: 616-254-6227 (Please note the new fax number.)
Our staff is very concerned about your child's well-being. If you have any questions about these forms, contact the district nurses or your school secretary.
Guidelines for Medication at School — Click to View
Generally, it is preferred that student take medications at home, but we realize this is not always feasible. Please review the following guidelines regarding student use of medication at school.
- Medication forms are available in any school office and on the district website.
- The district does not stock any over-the-counter medication for students. Any medication a student might need during the day should be brought to school by the parent.
- Medication should never be sent in a baggie, envelope or other unmarked container.
- If a student needs a medication for 2 weeks or less (e.g., antibiotic or pain medication for post-operative pain), the medication should be brought to school by the parent in the original container. A Medication Administration Form must be completed and signed by the parent.
- A Medication Administration Form must be completed for each daily, long-term prescription medication that is to be administered by the school staff and must be signed by the physician and parent. (Exception: If students have an Emergency Health Care Plan, Asthma Plan or Diabetic Plan completed, the physician orders and parent permission will be included; no additional forms are needed.)
- A Medication Administration Form must be completed for each non-prescription medication that is to be administered by the school staff and signed by the parent.
- Any student is allowed to carry their own medication, if it is deemed necessary by the physician. A Medication Use Form must be completed and signed by the physician and parent if the student is in grades K-8, and by the parent for students in grades 9-12. The medication must be in the original container and, with the exception of inhalers and insulin, limited to the amount needed by the student for one day.
- If the student will carry their own medication, but a back-up will be kept in the office for school staff to provide, both the Medication Use Form and the Medication Administration Form must be completed.
Which Form to Use
Our medication and emergency health forms are in blue links in the table below. If using an Asthma Action Guide, Diabetic Form from physician or Emergency Health Care Plan (EHCP), all physician orders and instructions should be written on the plans; additional forms are not needed. If the physician wants the student to carry their own meds, it should be noted on the plan and signed by the physician.
Smart phone users: Scroll to reveal full table.
|If Your Student Needs:||Use This Form:||Signed By:|
|Asthma Medications||Asthma Action Guide||Parent & Physician|
|Diabetes Care||Form from Doctor or Clinic||Parent & Physician|
|Emergency Health Care (EHCP) (e.g., severe allergies, seizures)||Emergency Health Care Plan||Parent & Physician|
|Prescription medication for 2 weeks or less, and given by school staff||Medication Administration AND meds in original container||Parent|
|Prescription medication that is daily, all year, and given by school staff||Medication Administration||Parent & Physician|
|Non-prescription medication, as needed, and given by school staff (parent provides the meds)||Medication Administration||Parent|
|Any medication the physician believes should be carried & taken by the student||Medication Use||
K-8: Parent & Physician
Grades 9-12: Parent
Click to view:
Medication & Emergency Health Forms (also in table above)
Health Appraisal Form
Athlete Concussion Form
Required Immunizations for School
Seventh Grade Immunizations
According to state law, all students entering seventh grade in a public school in Michigan need to have their immunizations reviewed and updated if needed. In addition to the vaccines required at kindergarten entry, there are two immunizations that are specifically required for seventh grade: the Tdap and Meningitis vaccines. All students entering seventh grade will need to have their immunizations updated before school begins in August.
If you have philosophical or religious reasons to waive vaccinations, you must contact the local Health Department to obtain a waiver. If your child has a medical condition that prohibits vaccines, you will need to obtain a medical waiver on the State of Michigan Medical Contraindication form, which your healthcare provider can access from the state immunization program.
Grades 4-6 Reproductive-Health Lesson Plans