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Student Medication Forms

Kiowa County Schools is committed to keeping all of our students and staff safe and healthy while they are in our care at school.  From time to time, students are required to take medication in order to help them to stay safe and healthy.  If your student is in need of taking medication while at school, please complete the corresponding form from the options found below.  If you are unsure about which form to complete, questions can be submitted to the School Nurse, Heidi Stimatze.  Mrs. Stimatze will be happy to help guide you through the completion process.  She can be contacted by email at hstimatze@usd422.org, or by phone at (620) 723-2332, extension 5170.  


Non-Prescription Medication Form

Prescription Medication Form

Self-Administer Medication Form