Health Room Staff
|Dale Fletcher||Sandra Nolff|
|Public Health Nurse||School Health Aide|
|(703) 222-8106||(703) 222-8106|
Dear Charger Parent,
The following information outlines steps for parents to help ensure compliance with FCPS Medication Administration Policy.
- ALL MEDICATIONS require a completed Medication Authorization Form. This includes medications approved and prescribed to be hand-carried by the student. The Medication authorization forms must be renewed at the beginning of each school year. . All forms can be downloaded at http://www.fcps.edu. Please follow the following links for specific medication authorization forms.
- Part I of the Medication Authorization Form must be completed and signed by parent/guardian.
- Part II of Medication authorization Form must be completed and signed by a physician for all prescribed medications.
- Parents may complete and sign part II ONLY for over-the-counter (OTC) medications, to relieve symptoms of headache, muscle ache, orthodontic pain, or menstrual cramps. Please indicate the symptoms the medication is to be used for. OTC medications to relieve any other symptoms or ailments must have a physician complete part II.
- All medications must be received in the clinic in original containers and with completed medication authorization forms. Prescription medication containers should be labeled and dated by the pharmacist. OTC medication containers should have the name of the medication visible and labeled by parent with students name, exact dose to be taken in school, and the frequency/time interval medication is to be given. Siblings may not share any medication bottles.
- Parents/guardians must transport all prescription medication to and from the clinic. High School students may carry only OTC medication to and from the clinic.
- Please be alert to medication expiration dates. If possible, medications should not expire during the SY. If a medication is due to expire, you will be notified by phone that it needs to be renewed with in two weeks prior to the expiration date.
- Medications with authorization forms can be received in the clinic from 7:15am-2:10pm.
- All medications and corresponding authorization forms must be checked carefully for compliance with FCPS policy. Please plan on waiting for this check to be done before you leave so that any corrections needed can be addressed with you immediately.
The Public Health Nurse (PHN) is responsible to ensure your child receives medication safely during the school day. If you have questions or concerns please contact the PHN at Dale.Fletcher@fcps.edu or call the clinic during school hours at
Please reference the following links for important guidelines from Chantilly's Public Health Nurse regarding student health.
- Medication Administration Guidelines
- Specific Health Care Authorization Form
- Student Emergency Transport Information
Other Health Forms
- Emergency Care Information for Students (SS/SE-3) Update Emergency Care Information Online
- Epinephrine Authorization (SS/SE-64)
- Administration of Medication (SS/SE-66)
- Health Information (SS/SE-71)
- Medication Authorization (SS/SE-63)
- Inhaler Authorization (SS/SE-65)
- School Entrance Health Form (Commonwealth of Virginia) (MCH-213)
- Specific Health Care Procedures Authorization (SS-SE 180)