Health Office Forms

September 12, 2017

Attention Parents/Guardians,

In order to be able to administer medications in the school setting, schools are required to obtain annual consent forms. Please print and sign the attached consent forms for both over the counter medications and prescribed medications (if applicable) and return them to school by September 29th. If your child has an epinephrine auto injector, inhaler, or any other self-administered medications, please make sure a physician order is sent in along with the signed consents. Should you have any questions or concerns, please feel free to contact the school nurse.

Mrs. Eleanor Hurley, RN: 508-583-6875 ext. 7991

Please click on the following documents to download the relevant form:

Student Health Form
Prescription Medication Order
Non-Prescription Medication Administration
Medication Order for Anaphylaxis


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