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IMMUNIZATIONS (IC 20-34-4)



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2018 PES Handbook

IMMUNIZATIONS (IC 20-34-4) 
IC 20-34-4-2 requires every child residing in IN who is enrolled in an accredited school be immunized against diphtheria, whooping cough, 
tetanus, measles, mumps, rubella, poliomyelitis, varicella, Hepatitis A, Hepatitis B, and meningitis.
IC 20-34-4-5 requires the parent of the student to furnish to the school, no later than their first day of school attendance, proof of the 
student’s immunization status. A student may not be permitted to attend school beyond the first day without furnishing the documenta-
tion. The proof is required to be a written document from the health care provider (HCP) who administered the immunizations or docu-
mentation provided from the state immunization data registry (CHIRP).
MEDICATIONS
Please try to give medications at home if possible. However, in some instances the individual learning process may benefit from a 
student taking medication at school. These medications must be stored in the health clinic with the exception of (C). All prescription and 
non-prescription medications to be administered at school or school functions must be FDA approved.
(A) OVER-THE-COUNTER (OTC) MEDICATIONS 
1. Signed, dated, written permission of parent or legal guardian
2. The note should give instructions for administering the medication, including dosage, and time to be given 
3. Must be age appropriate and in original package 
(B) PRESCRIPTION MEDICATION
1. Physician’s written order must be filed annually in the nurse’s office. A medication change or discontinuation requires a new order.
These forms/orders can be faxed to the elementary at 643-4029. Forms are available on the Health Service section of our Web 
site. 
2. Written permission of a parent or legal guardian 
3. Medications must be brought to school in the current, original container from the pharmacy. 
(C) SELF-ADMINISTRATION AND POSSESSION OF PRESCRIBED MEDICATIONS 
1. A student with a chronic disease or medical condition may possess and self-administer prescribed medication for the chronic 
disease or medical condition if the following conditions are met : 
a. The student’s parents have filed an authorization annually with the student’s principal for the student to possess and self-
administer the medication. The authorization must include the following: 
i.
The physician states in writing that: 
1.
The student has an acute or chronic disease or medical condition for which the physician has prescribed medication
2.
The student has been instructed in how to self-administer the medication; and 
3.
The nature of the disease or medical condition requires emergency administration of the medication 
(D) DISPOSAL OF MEDICATIONS 
1. Medications cannot be sent home with the student.
2. Approximately two weeks before the end of school, parents will be notified to pick up any remaining unused medications.
3. Medications not claimed at the end of the school year will be destroyed. 



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