By answering YES below, I acknowledge that I am the parent / guardian, and:
I hereby request and give my permission for a designated member of the school staff to administer medication to my student. I will not hold liable the Merrimack Valley School District, school nurse(s), principal or members of the school staff that assist my student with their prescription or over the counter medication.
I give permission for the Health Office to provide nursing care as defined in the NH Nursing Scope of Practice. In case of serious illness or injury, the school may make whatever arrangements deemed necessary for the care and well-being of my student and contact me as soon as possible.
I give my permission to the school nurse(s) to share health information necessary to benefit my student's health or education with school staff and give my permission to the school nurse(s) to speak with emergency personnel staff as necessary.