Monday, 2/8/2010

   
    Celebrating 50 Years of Educational Excellence

MEDICATION DISPENSATION FORMS

The following forms are used district wide and must be properly filled out and returned before any medication can be dispersed to your child during the school day.  

The forms below are available to you from any school office. Or you may click one of these links, print out the form yourself, complete it by hand, and bring it to school.

Medication Administration Daily Log

Request for Administration of Non-Prescription Medication to Student

Request for Administration of Prescription Medication to Student

Request for Self-Administration/Self-Possession of Medication

Medication Incident/Error Report Form

 

 
       
 
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Chippewa Valley Schools, 19120 Cass Ave, Clinton Township, Michigan, 48038 (586) 723-2000