Over the Counter Medication Form
PARENTAL REQUEST AND AUTHORIZATION FOR THE ADMINISTRATION OF OVER THE COUNTER MEDICATION Download this form read more
AUTHORIZATION-ASTHMA OR AIRWAY CONSTRICTING MEDICATION
Code 504.4
Exhibit D
Page 1 of 2
AUTHORIZATION-ASTHMA OR AIRWAY CONSTRICTING MEDICATION
SELF-ADMINISTRATION CONSENT FORM
I am the parent/guardian/custodian of
______________________________________________ . . .
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PARENTAL REQUEST AND AUTHORIZATION
Code 504.4
Exhibit A
PARENTAL REQUEST AND AUTHORIZATION
FOR THE ADMINISTRATION OF MEDICATION
I am the parent/guardian/custodian
of_______________________________________
(student's full legal name), date of birth . . .
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