A student with asthma or anaphylaxis may possess and self-administer prescription asthma or anaphylaxis medicine while on school property or at a school-related event or activity if:

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1. The medicine has been prescribed for that student as indicated by the prescription label on the medicine

2. The student has demonstrated to the student’s physician or other licensed health-care provider and the school nurse, if available, the skill level necessary to self-administer the prescription medication, including the use of any device required to administer the medication

3. The self-administration is done in compliance with the prescription or written instructions from the student’s physician or other licensed health-care provider

4. A parent of the student provides to the school:

• Written authorization, signed by the parent, for the student to self-administer the prescription medicine while on school property or at a school-related event or activity; and

• A written statement, signed by the student’s physician or other licensed health-care provider, that states:

(1) That the student has asthma or anaphylaxis and is capable of self-administering the medicine

(2) The name and purpose of the medicine

(3) The prescribed dosage for the medicine

(4) The times at which or circumstances under which the medicine may be administered

(5) The period for which the medicine is prescribed. The physician’s statement must be kept on file in the school nurse’s office, or, if there is no school nurse, in the office of the principal of the school the student attends.