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5420-e2E - Permission Form Meds.doc
Handle: Document-12596
Owner: TeWinkle, Coralie (User-2641, ctewinkl:DocuShare)DS
Wednesday, January 16, 2002 04:55:36 PM EST
Wednesday, January 16, 2002 04:55:36 PM EST
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  • 5420-E.2
STUDENT HEALTH SERVICES EXHIBITPermission for the Use of Medications The district strongly recommends that whenever possible, all medications, even non-prescription, be kept by the school nurse/teacher.
  • Child’s Name Birthdate Today’s Date Medication Allergies
NON-PRESCRIPTION MEDICATION PRESCRIPTION MEDICATION1.
  • Medication 1.
  • Medication
Dosage Dosage Time to be given Time to be given Reason to be given Reason to be given Comments Comments Student appears mature and responsible Student appears mature and responsible and self-medication is part of a therapeutic and self-...
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Microsoft Office Word (.doc, .dot) - application/msword
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5420-e2E - Permission Form Meds.doc
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10752
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Appears In: WCSD District Policy Handbook
Preferred Version: 5420-e2E - Permission Form Meds.doc