EVERY STUDENT NEEDS THIS FORM COMPLETED AND SUBMITTED BEFORE WINTER BREAK
EVERYONE NEEDS THIS. This gives directors permission to administer the OTCs you marked on the first page. Students who do not take a prescription medication should only fill out the non-prescription portion and sign. Please indicate the medication name as “see attached”- we will only give the medications you gave permission for on the OTC form.
If your child is on ANY prescription medications, the bottom part of this form must completed for EACH medication and MUST BE SIGNED BY THE STUDENT’S PHYSICIAN
If your child has an EpiPen, inhaler, or a diabetic apparatus, please complete.
