Stow-Munroe Falls City Schools
School Health and Wellness Center

Dear Parent(s)/Guardian:
The Board of Education urges parents to schedule, to the extent possible, medication of a student outside of school hours. If medication, including over-the-counter drugs, is to be dispensed during the school day, it needs to be done in accordance with the following Stow-Munroe Falls Board of Education policy:

  • A request completed and signed by your physician must be on file
  • A medication release form must be signed by the parent/guardian and be on file in the school office
  • Medication such as aspirin or Tylenol will not be administered under any circumstances by school personnel unless prescribed by a physician. Cough drops are considered medication.
  • New request forms shall be submitted each school year.
  • Parents/guardians shall agree to:
    -Assume responsibility for safe delivery of medication to school
    -Notify school if they change physician
    -Submit a revised request signed by the physician who prescribed the medication
    -Notify school if any of the information provided by the physician changes, including dosage.
  • Medication shall be received in the container in which it was dispensed by the pharmacist and labeled with:
    -Student’s name
    -Name of medication
    -Dosage
    -Time of administration
    -Licensed pharmacist’s name
    *Ask the pharmacist for a separate container for school with a label as stated above. The pharmacist will often divide the prescription for you.
  • Over-the-counter medication must be in the original container labeled with the child’s name, dosage, and time(s) to take the medication.


At the top of this page, you will find a copy of the forms needed. Many parents take the physician’s form with them to the physician’s appointment in the event a medication is prescribed. This can save you time and assure your child receives the medication as prescribed.


REMEMBER: NO MEDICATION CAN BE ADMINISTERED UNLESS THESE FORMS ARE SUBMITTED TO THE SCHOOL OFFICE.

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Request form(s) for Medication to be administered at school

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