Health Services

Please submit the following to your building health office at Open House, by fax or on another day that you have coordinated with the office prior to the first day of school: 

• Asthma Action Plan from medical provider dated for the new school year

• Medication Orders from prescribing professional dated for the new school year (if medication administration is required at school)

• Centennial School District Medication Authorization signed by parent/guardian dated for the new school year (if medication administration is required at school)

• Authorization for Self-Carry/Administration of Emergency Medication signed by medical provider and parent/guardian dated for the new school year (if you would like to request that the student self-carry rescue inhaler)

Please submit the following to your building health office at Open House, by fax or on another day that you have coordinated with the office prior to the first day of school:

• Allergy/Anaphylaxis Plan from medical provider dated for the new school year

• Medication Orders from prescribing professional dated for the new school year (if medication administration is required at school)

• Centennial School District Medication Authorization signed by parent/guardian dated for the new school year (if medication administration is required at school))

• Authorization for Self-Carry/Administration of Emergency Medication signed by medical provider and parent/guardian dated for the new school year (if you would like to request that the student self-carry epinephrine auto injector)

Please submit the following to your building health office at Open House, by fax or on another day that you have coordinated with the office prior to the first day of school:

• Diabetic Management Plan from medical provider dated for the new school year

• Medication Orders from prescribing professional dated for the new school year (if medication administration is required at school)

• Centennial School District Medication Authorization signed by parent/guardian dated for the new school year (if medication administration is required at school)

• Diabetic Supplies

Please submit the following to your building health office at Open House, by fax or on another day that you have coordinated with the office prior to the first day of school:

• Seizure Action Plan from medical provider dated for the new school year

• Medication Orders from prescribing professional dated for the new school year (if medication administration is required at school)

• Centennial School District Medication Authorization signed by parent/guardian dated for the new school year (if medication administration is required at school)

Medications should always be administered at home, if possible. If a student must receive medication administration during the school day, the following is needed:

• Medications must be submitted by the parent/guardian with completed paperwork prior to the first day of school. Medications and required forms may be submitted during Open House, or on another day that you have coordinated with the office prior to the first day of school. Medication will not be accepted unless all requirements have been met. Students are not allowed to transport medication.

• Written orders from a prescribing professional MUST be completed for ANY medication (prescription or over the counter) Orders must be submitted each school year and when there are changes to the medication, dose or administration.

  • Exception: Some over the counter medications may be administered at the Centennial High School without a provider’s order. To do so, an Over-the-Counter Medication Authorization Form must be completed by the student's parent/guardian. Form located below.

  • The Medication Authorization Form must be completed and signed by parents/guardians for any medication (prescription or over the counter) each school year and when there are changes to the medication, dose or administration.

• Prescription medication must come from the pharmacy in a current pharmacy-labeled container. This includes epinephrine auto injectors, inhalers and insulin pens.

• Pharmacy labels must be attached directly to epinephrine auto injectors, inhalers and insulin pens.

• Over-the-counter medication must come in the originally labeled and sealed container with the student’s name written on it.

• Only 30 tablets/capsules may be submitted at one time.

• If tablets are required to be split, they must be split prior to submitting to the health office.

• All medications must be picked up at the end of the school year by the parent/guardian.

Authorization for Self-Carry

Authorization for Medical Administration

Over-the-Counter Medication Form (for high school students only)

When prescribing health professional, parent/guardian, student, and school nurse agree that self-carry/administration of an Epinephrine Auto Injector, Inhaler, and/or Insulin Pen is appropriate for an individual student, the procedure must be done safely, carefully, and accurately. A written order by a prescribing health professional and the Authorization for Self-Carry/Administration of Emergency Medication must be completed each school year and whenever medication, dosage, or administration changes. The school nurse will assess the student’s competencies to self-carry and/or self-administer medication and if there are any concerns will contact the healthcare professional and parent to discuss further options.