Medication Policy & Consent Form

Medication Policy
Mathis Independent School District



The Department of Health Services in Texas (DHST) and the Texas Education Agency (TEA) have specific guidelines regarding medications administered to students in school, which MISD follows. 

 Please contact the nurse assigned to your student’s campus with any questions or concerns:
PK – 2nd  Elementary Campus 361-547-4106 ext 2005

3rd - 5th Intermediate Campus 361-547-2472 ext 3005
6th - 8th Middle School Campus 361-547-2381 ext 4005 
9th -10th High School Campus 361-547-3322 ext 5005 

Only authorized district employees may administer:

·        Prescription and nonprescription medication

·        Herbal or dietary supplements provided by the parent if required by the student’s individualized education program (IEP) or Section   504 plan for a student with disabilities. 

In certain urgent situations, the district will maintain and administer to a student nonprescription medication, but only:

·        In accordance with guidelines developed with the district’s medical advisor

·        When the parent has previously provided written consent to emergency treatment on the district’s form.



Ideally, all medication should be given at home. Time schedules can often be adjusted to accomplish this. For medications given 4 or more times a day, or at a specific time, medications will be administered per MISD guidelines. Ask your pharmacist for an extra bottle with a label if school use is needed.

A parent or responsible adult must bring the medication to the nurse’s office. No students except those over the age of 18 are allowed to bring in medication. If a student is found with any unauthorized drug on his/her person, it will be dealt with by the administrator of the campus. Depending on the medication found, charges may be filed for endangering himself or other Mathis students. 

For medication to be given in school, please fill out the Mathis ISD Medication Administration Consent Form.  If you cannot print out the form, written requests must be submitted to the nurse with the following:

·        Student’s Name

·        Medication name, dosage, time to be given with instructions

 ·      Signature of parent or legal guardian

 ·        Date of permission

 ·        Length of time medication is to be given

 Prescription medication shall contain a clear and legible label with:

 ·        Name and address of pharmacy

 ·        Name of patient

 ·        Name of prescribing doctor

 ·        Date prescription was dispensed

 ·        Instruction for use

 Prescription medication may not be shared, even with brothers and sisters. 

A date not more than two weeks prior to current date, should be on the label. Parents may be questioned if the prescription is not recent. If there is a discrepancy that may harm the student, the nurse has the responsibility to question that discrepancy, and refuse to give the medication till clarified by the doctor. 

Over the Counter (OTC) medication must be provided in its original container. The label should include recommended dosage, directions and expiration date. 

Changes for administering a medication can be received via telephone from the parent, but must be confirmed in writing within three (3) days of the change. 

Student’s medication will be stored in a locked cabinet or drawer. A daily log will be kept for each student taking medication. 
 Teachers will be notified when their student(s) are required to take medication. 

Students may not carry medication with them unless they have written permission from a physician stating that they have a condition which requires immediate treatment.


A student with asthma or severe allergic reaction (anaphylaxis) may be permitted to possess and use prescribed medication at school and school-related events if he has written authorization from a parent and a physician. The student must demonstrate to physician and school nurse the ability to use the prescribed medication, including devices required to administer the medication. If the student has been prescribed asthma or anaphylaxis medication for use during the school day, the student and parents should discuss this with the school nurse and/or campus principal.



 In accordance with a student’s individual health care plan, a student with diabetes is permitted to possess and use monitoring and treatment supplies at school or school related activities. See nurse for information. (FFAF) 

For field trips, legal permission to administer medication is granted to employees of the school district, when authorized by the school principal or Superintendent. 

Sample medications provided by a physician can be administered when the medication is accompanied by a written order for the medication from the student’s health care provider and written permission from the child’s parent or guardian.
At school end, all medication must be picked up by a parent or responsible adult. Students are not allowed to take it home. Medication not picked up will be discarded. Reminders will be sent out two (2) weeks prior to the last day of school.