Rantoul Township High School District 193

Medical Release Form

In order for the School Nurse to communicate with a student's doctor regarding illness, this medical release form must be completed.  This form gives authorization for the doctor and School Nurse to disclose protected health, personally identifiable information, and educational records.  Information shared between the doctor and the School Nurse is confidential. 

Medical Release Form (English and Spanish)

Medication at School 

If a student needs to take prescription or non-prescription medication at school, please review this information. 

Self-Administration of Medication Letter  (English)

Self-Administration of Medication Letter (Spanish)

• Medication must be in the original labeled container as dispensed or the manufacturer's labeled container.  
• The medication label must contain the student's name, name of the medication, directions for use, and date .
• This form must be completed each year.  In addition, if any changes are made to medications, this form must be completed again.  

Self-Administration of Medication Form (English) 

Self-Administration of Medication Form (Spanish)