Midlo Clinic seeks medication forms

News from Midlo Clinic

Midlo Clinic seeks medication forms

Photo by: https://www.pearlandisd.org/

CLINIC FORMS

If your student needs to have medication while at school or has a health condition that requires a care plan – the forms are attached to this message.  

Please print what you need, complete your section, have your licensed healthcare provider complete their section. See links below.

MEDICATIONS

Remember, unexpired medications must be brought to the school by an adult. You can ask the pharmacy for another labeled prescription bottle to be able to portion out medications for home, tech center, and home school. 

Non-prescription medications must be unopened.  

Students are prohibited to self carry any over the counter or prescription medication without paperwork signed by parents, doctor and/or clinic. This includes:

  • Pain medication
  • Eye drops
  • Cough drops
  • Antacids
  • Medicated lotions or/and ointments
  • When in doubt, ask the Nurse or Clinic Assistant!

Please contact the clinic if you need to bring medications before 8am or after 3pm.

School Nurse: Linda Schaich, RN

Clinic : 378-2440 ext 4126

Tami Harlan, Clinic Assistant ext 4154

SMR-AAA1075 OTC 2020-2021 (1).pdf (163K)

SMR-AAA1075 prescrip 2020-2021 (1).pdf (171K)

Hypoglycemia IHP 2020-2021.pdf (242K)

IHP-Life Threatening Allergy 3-20.pdf LTA.pdf (232K)

IHP-Asthma rev 3-20.pdf (251K)

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IHP-Seizure 4-20.pdf (234K)

IHP-Diabetes DMMP 3-20.pdf (413K)