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Blevins Elementary
 Blevins Elementary and Lafayette High were honored as 2019 National Schools of Character The Rockwood Advantage 2019 Niche Best Schools

25 E North St, Eureka, MO 63025 | Phone (636) 733-3175 | Fax (636) 733-8870

Medication In School

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​​Does your child need medication at school? If you are unsure of what form your student might need? Here are some tips!

Self Administration of Medication ​Form

Authorization for Self-Administration of Medication and Waiver and Indemnification from Liability​

This form is used when your child will be able to carry medication on them at school. This covers ANY over-the-counter medication (high school students only); or Albuterol and EpiPens (encouraged as students reach middle school). This form MUST be signed by a parent AND a physician in order for the student to carry the medication on them. This form is kept in our office and is only good for a single school year.​

Request for Medications to Be Given at School

Request for Medication To Be Given At School​

This form is used when your child will come into our office and we will administer medication to them. This covers ANY prescription medication and/or over-the-counter medication. This form must be signed by a parent and accompanied by the prescription in the original bottle. If it is an over-the-counter medication, the form must also be signed by a physician. Rockwood School District does not allow ANY narcotic medication to be kept on school premises.

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