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Medication form

Posted on March 7, 2013 at 10:45 AM Comments comments (0)

Riverside Public School

Authorization/Parental Consent for Administering Medication

***Please use a separate form for each medication***

Student Last Name: ______________________ First Name: ___________________

Grade: ______

Parental Consent

I am the parent/guardian of ___________________________ . I give permission for him/her to take the following medication while in Riverside School. I hereby acknowledge that I have read and understood the school policy...

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