Appropriate age groups:
Preschool and Younger
Elementary School
Middle School
High School & Beyond

General purpose of letter:
This is a sample letter with instructions from you and your childÆs doctor to the school nurse indicating when to administer medication to your child. Make sure that the instructions are precise, and list all contact numbers including your doctorÆs number in case the nurse has any questions. As an example, this letter describes in detail what needs to be done if your child has an ear infection.

Sample letter:
Date

Ms./Mrs./Mr. [Name of Nurse]
Job Title
School Name
School Address
City, State, Zip Code

Dear Ms./Mrs./Mr. [Name of Nurse]:

My child, [Child? Name], is recovering from an ear infection. Enclosed is a note from our doctor indicating that [Child? Name] can return to school and the ear medication that she/he needs to take at 1:00 p.m. for [number of days] of days. I have notified Ms./Mrs./Mr. [Teacher? Name], and she/he knows to send [Child? Name] to your office after lunch.

If you have any questions, please feel free to call me at home, [home phone number], or at my office, [office phone number].

Thank you very much.

Sincerely,
[Signature]

[Your name]

[Parent?/Guardian? Name]
[Home/work/cell phone numbers]
[Best time to be reached]

[Child? Name]
[List of child? current medications, allergies, illnesses or other conditions]
[Doctor's Name]
[Doctor's phone and beeper numbers]