NON-PRESCRIPTION Medication Permission Form
Students requiring non-prescription (over-the-counter) medication, such as acetaminophen or cold medicine, must bring the medication in its original container along with this completed Non-Prescription Medication Permission Form signed by a legal parent or guardian to the school office.  No medications of any type should be stored in lockers, classrooms, or with the student.  

Auburndale Schools’ office personnel will administer medications.  No medications will be given to students unless the items listed below are completed.  Students are responsible for coming to the office to receive medication at the designated time.  If a student refuses to take the medication indicated below, the parent/guardian will be notified immediately.

If you have any questions regarding medication administration procedures, please contact your school office.

In order for Auburndale Schools to accurately distribute medication, please complete the following information.
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