LWA Over the Counter Medication Consent
The following is a list of over the counter medications that can be administered during school. Your child WILL NOT be given any of these medications without consent via this form. Parents will be notified when medications are administered, with the EXCEPTION of antacid tablets, cough suppressant drops, petroleum jelly, Blistex, triple antibiotic ointment, saline solution, saline eye wash, oral analgesic and anti-itch lotion.
Please check the medication(s) that your child may receive while at school. *
Required
I give permission for the school Health Clerk and office personnel to administer the above-checked over the counter medications to my child as needed. *
Parent/Guardian Full Name *
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