Consent for Administration of Medication

Nebulizer Care Consent part 1

Nebulizer Care Consent part 2

Please use part 1 & 2 if your child will need nebulizer/inhaler care at school

Do you have a new work or cell phone number?  New address?  Maybe you need to update the persons authorized to pick up? Print and fill out the form below (remember to sign the bottom) and  turn it into the office.

Identification and Emergency Contact Information Form

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