School personnel are not allowed to dispense medication to students who are ill without the permission from their parents or legal guardian. Please take the time to complete this portion if you want your child to receive non-aspirin pain reliever at school. We will also administer other medications sent from home with specific directions for administration time and what the medication is being used for. If your child takes a prescription medication daily and it is to be administered by the nurse, it will need to be in a prescription bottle clearly marked with the child's name, name of medication, dosage, and how it its supposed to be administered. I request that my child be given non-aspirin pain relievers (Tylenol) or generic substitutes during the school year in accordance with the board policy. I authorize the school nurse or designee to give my child medication. I will not hold the school staff responsible for any undesired reaction that may occur from the medication. School Nurse 573-793-2896. Student's Name & Parent/Guardian signature