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Medication Authorization Form P-12
Handle: Document-93107
Owner: Johnson, Kari (User-3179, 11095:EVERETT)DS
Thursday, November 16, 2017 09:11:17 AM PST
Wednesday, May 3, 2023 06:15:52 PM PDT
Modified By: Johnson, Kari (User-3179, 11095:EVERETT)DS
Locked By:
  • MEDICATION AUTHORIZATION ORDER FORM
Student Name: DOB:School: Student #: Grade:Guidelines for Medications at SchoolAll medication should be dispensed before or after school hours by the parent/guardian.
  • If a student must receive prescribed medications during school hours or when the student is under the supervision of school officials,
the following procedures must be followed.
  • Everett Public Schools accepts no responsibility for adverse reactions when the medication is dispensed in accordance with the
LHCP order.
  • • All medications must be in their original, properly labele...
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
General Medication Authorization Form.pdf
No
4
218188
No
Appears In: Medication Authorization Forms
Preferred Version: Medication Authorization Form P-12