Medication Forms
Students who require medication to be used during school hours (e.g. asthma inhaler, Epi-Pens) need LAUSD medication forms to be completed by their primary care provider. Below are forms to download and print. After completion by a California-licensed doctor, parent/legal guardian need to also sign the forms and provide the completed forms with the medication to the school nurse. Medication forms can also be picked up from the main office.
MEDICATION FORM - use this form for emergency asthma inhaler.
EPI-PEN FORMS - Print and provide all of the following PDF files to your child's primary care provider to complete. If it is not a food allergy, then disregard the Special Diet Form.