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Pinnacle Middle School

Building independent and creative thinkers, with purpose

Medications In School

Attestation Form

  • At the MS and HS level, if a student is going to self-carry and self-medicate, the Attestation Form must be completed and submitted to the health office.
  • Please return or E-mail completed form to the school nurse.

Medication Authorization Form

  • A NYS healthcare provider must fill out the Medication Authorization Form for all medications to be given in school, including over the counter medications.
  • All medications must be provided in original packaging.
  • All medications including over the counter and prescriptions, must be delivered to the health office by a parent or designated adult.
  • Please return or E-mail completed form to the school nurse.

Form Instructions for Printing