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Medication Consent Form

Self Medicate MD form

**A Medication Consent Form signed by your child's physician and the parent must accompany all prescription medications**

**A Medication Consent Form signed by the child's parent must accompany all over the counter medications**

**A Self Medicate MD form is to be signed by your child's physician if they would like to carry their asthma rescue inhaler in their pocket or bookbag while at school**

PER DISTRICT POLICY NO MEDICATIONS ARE TO BE BROUGHT IN TO THE SCHOOL OR SENT HOME WITH YOUR CHILD UNLESS A SELF MEDICATE FORM IS SIGNED BY YOUR CHILD'S PHYSICIAN AND BROUGHT TO THE IES HEALTH ROOM. THIS IS TO PROTECT YOUR CHILD AND HIS/HER CLASSMATES.

ALL MEDICATIONS MUST BE PICKED UP FROM THE IES HEALTH ROOM BY THE END OF THE LAST DAY OF SCHOOL BY A PARENT. MEDICATION CANNOT BE SENT HOME IN YOUR CHILD'S BOOKBAG. MEDICATIONS NOT PICKED UP WILL BE DISCARDED PER DHEC GUIDELINES.