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Medication Form

                                                                                                         

Please click below to access the medication form that the state has asked all school districts to use. Please note that parents complete the Middle section, the License Prescriber, (Physician, Nurse Practitioner, etc.) will complete the bottom section for prescription medication such as, Inhalers, EPI Pens, ADHD medications etc.  This form must also be used for over the counter meds like Tylenol, Ibuprofen, Tums etc... 

 

Medication Form