Required at School:
Non-prescription medication listed below is available in the clinic for parents to request for their child. This medication may be given after initial evaluation of your child’s symptoms. All medication is given according to the designation on the product, by age and weight appropriate strengths. All medication must be administered by the Health Center.
I hereby instruct and authorize Grace School staff to administer the above checked medication(s) to my child while on campus and/or during school sponsored activities off campus.
Health Information and Treatment Release: I have read and agree that the information on this form is correct. I give permission for the information to be shared with school personnel on a need to know basis in order to provide appropriate services to my child. I agree to notify the school of any changes in my child’s health status. In the event of an emergency, I give permission for treatment of my child by school personnel or a physician. The school will notify the parents as soon as possible.