MDPH Review Guidelines (PDF) pdf format of MDPH Review Guidelines 
doc format of                             MDPH Review Guidelines

Options for Administration of Medication

  • Administration of prescription medications by licensed personnel only
  • Delegation of the responsibility for administration of prescription medications to trained, nursing-supervised unlicensed school personnel, provided certain conditions are met and the school district or private school registers with the Massachusetts Department of Public Health (MDPH).

School districts/schools may apply for permission to delegate the administration of prescription medications to unlicensed school personnel as determined by the school nurse, provided that certain requirements are met. These requirements include but are not limited to policy development, sufficient school nurses to provide supervision to unlicensed personnel, and attendance by the school nurses leader or nurse contact at a program on Medication Delegation in the School Setting. This train-the-trainer program is designed for school nurses who are responsible for training unlicensed school personnel to administer medications and is offered by the Department. These programs are offered through Boston University School Health Institute at

Residential Public/Non-Public School Programs

(includes off campus, on-campus, during the school day and evening/nights or weekends)

  • A programmatic approval by the School Health Unit results in the forwarding of your application to the MDPH Drug Control Program for their approval;
  • Final approval is issued by the MDPH Drug Control Program. Please visit their website at for additional information. Registration becomes effective for one year on the issuance of a certificate by the MDPH Drug Control Program. There is an annual fee for this approval and certificate.

Day Public/Non-Public School Programs 

(includes Field Trips, Before and After School or Special Events, and During the School Day).This registration is approved by the School Health Unit and lasts for two school years, does not require a fee, and pertains to field trips and other short-term special school events.

Training of Epinephrine Administration by Auto-injector to Students with Diagnosed Life-Threatening Allergic Conditions: 

This registration is approved by the School Health Unit. The registration lasts two school years and does not require a fee. Because of the numbers of children with life-threatening allergic conditions, the Massachusetts Department of Public Health and the Department of Elementary and Secondary Education strongly recommend that all schools and school districts , public and private, register with the MDPH to train unlicensed personnel to administer epinephrine by auto-injector to students with diagnosed life-threatening allergic conditions.

How to Register

The school nurse manager responsible for the medication administration program in the school should mail or fax (617-624-6062) a written request on the school's letterhead for an application for registration to:

Janet Burke
Department of Public Health
250 Washington Street, 5th Floor
Boston, MA 02108



This information is provided by the School Health Services within the Department of Public Health.