Over the Counter Medication Permission
The following medications are supplied by the school.  Please complete this form if you want your child to receive any of these medications during the school year.

  • Tylenol (Acetaminophen)
  • Advil (Ibuprofen)
  • Tums

MD orders are required for prescription or over the counter medication (not listed above).  They must be sent to the school in the original container.
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Email *
Parent Full Name: *
Parent Email: *
Parent Phone Number: *
Student First Name *
Student Last Name *
I give permission for the following medications to be given to my student: (Please check all that apply) *
Required
Please provide any additional medical information and/or allergies that the nurse should be aware of:
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Lincoln Public Schools.