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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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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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