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Thursday, April 27, 2017
Student Services / Student Health Program / Medication Administration at School

Medication Administration at School

Medication Administration at School: This form will need to be signed by the physician and by the parent. This form lists the medication(s) that your student will need to take while at school.

It includes: time, dosage or amount of that medicine to be given, who may administer medicine to your child, and how much medicine to provide.

Please complete all lines on this form before bringing to the office.

**Please note: Medications are not allowed at school without this form. This includes Over-the-Counter medications such as, Tylenol and Advil.

Medication Administration at School Form

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