I purchased a wrist watch with an alarm  for Ashley and it goes off at 12.00 noon.  He is allowed to just quietly leave the classroom quietly to go to the office and get his meds.  He has not forgotten yet where tablets are concerned.  In fact I set it to 11.50am as I thought that he may get distracted at 12.00 when the bell goes for lunchbreak and such so I thought it best if he got his med’s before the lunchbreak.  I check with him every day when my wrist alarm goes off at 5.30 pm for his evening dose that he has had his 12.00 noon dose.  So far he has not missed, but if he were to say he had not had the dose I would give him the 3.75mg dose of HCT and 25mcg florinef with his 2.50mg HCT dose and 25mcg dose at 5pm.  I have always given the missed dose and the next dose together when one has been missed or just given the dose asap after realising that it was missed and the next one on time.  This is common sense because if a tablet is missed, then 17 OHP levels raise where cortisol levels would and you need to give the dose as soon as you remember and double if you realise at the next dose to compensate so their labs are not too out. 

It is important to always dose on time and failing that do as above I feel personally.  Missed doses mean higher than normal levels of 17 OHP that cannot be dealt with by the next dose of HCT alone.  Try the alarm clock.  It won’t matter if the child cannot read time.  I would get one or have the nurse set hers for that time.  They have a responsibility to have better systems in place for this kind of thing.  They sign a form here and there is official paperwork for each child completed that had med’s given at school.  That is binding on either side.