Medication Agreement Requests

Your paediatrician's check and authorisation of a Medication Agreement is needed for stimulant and some other medications that need to be administered at school or by other out-of-home carers.

The Medication Agreement form specifies the medications and doses the carer can give children in their care.

Your paediatrician may be happy to authorise a Medication Agreement outside of an appointment. A fee of $35 applies for this service, or $70 if the request is urgent.

To request your specialist’s approval of a Medication Agreement, please

1) Complete the Prosper Request Form below.

  • to provide information needed by Prosper and your paediatrician

2) Complete & send a DECD Medication Agreement form in Word Format.

We can send you one with some editing shortcuts, or you can obtain the form from the DECDs website:

hsp151-medication-agreement.doc

hsp152-multiple-medication-agreement.doc

and

Request Form For Paediatrician’s Medication Agreement Authorisation

The Fee for the Medication Agreement Request:

The Fee for a Medication Agreement Request is $35* or $70 if the request is urgent.

Please phone to pay this, or if making a bank transfer, please email a copy of the bank transfer record.

*If you require additional administrative work, time, or communication for your Request, this will be billed at the minimum rate of $15 per 5 minutes, but up to around $40 per 5 minutes (see your provider’s Fee Schedule for the specific rate) for the doctor’s additional work. Please help us manage your request as efficiently and cost-effectively as possible by carefully reading the information provided, submitting the form, and working with us through our streamlined process.

Is the Request urgent?

A request is urgent if required within the next 5 business days or before my doctor's next clinic day, whichever is later. Urgent provision may not be possible, despite the best efforts and additional work of the administrative staff and your doctor. Providers’ usual clinic days are listed on their webpage; however, they may be on leave.

  • If urgent, one of the associated paediatricians may complete the Request on behalf of your usual doctor as a locum.  Please advise us if you do not consent to this.

Completing the DECD Form:

This South Australian DECD Form lets you provide all the information needed for the administration of medications at school or camp etc.

Complete all the Guardian/Parent sections to provide all the details, including

  • Your child’s name and date of birth,

  • the school or other responsible entity or service.

  • The medication name, strength, dose, time and method of administration should be detailed, including

    • The form of the medication e.g., liquid, capsules, tablets, topical (such as cream or ointment), inhaler, injection etc.;

    • amount of the medication for each dose e.g., 1.5 tablets, 5 ml, 2 drops, etc.

    • The time specified should allow up to 30 minutes before or after the nominated time.

Do you need your specialist’s approval for a new Medication Agreement?

A new Medication Agreement should only be requested if the medication management relevant to the Agreement has changed or your child is starting at a new school or centre.

Whenever medication changes are made at an appointment, you can ask your doctor to prepare a New Medication Agreement for School and Out of Hours, such as camp, in the appointment.

Your GP may be able to approve the Medication Agreement for your child instead. 

Medication Agreements require a doctor’s approval for Schedule 8 Controlled Drugs, including opioids, Stimulants, Oxygen, Insulin, and regular pain relief.

A doctor's approval is not required for Medication Agreement Forms for as-needed or occasional pain relief such as Panadol or Nurofen, Melatonin, antiseizure medications (not Midazolam), Fluoxetine, asthma medications, Clonidine and other non-Schedule 8 Medications.