STOP: Only for doctor prescribed medicine... MUST COME TO THE HS OFFICE TO COMPLETE AND DROP OFF MEDICINE-Medicine must stay in the office.

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Must complete if student has a specific medication to be given to a student on a daily bases-All medication must be kept in the office.

Email *

Student Last Name: *

Student First Name:

Medication Policy: The medication must be in the original container with the student's name on the prescription. Permission for long-term medication must be renewed at the beginning of each school year. *

Yes, I have read the above form and agree.

Required

Parent Signature- Typing your name is equivalent to signing *

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