Medication Permit Form


Perry Hill Elementary personnel are prohibited from providing, or administering any medication to a student, except as authorized by the following procedures:

  • The medication must be in the original container with the pharmacy label intact.
  • The parent must complete a Medication Permit Form
  • Indiana State Law requires that any unused medication for students in grades K-12 be sent home only with a parent, or a designated person over the age of 18. This designation must be in writing and on file in the school office.