Medication Form  

Required for administration of prescription and over-the-counter medication at school. Both pages (physician and parent) must be complete.

 

 

 

Permission for student to Self-Carry Asthma Inhaler/Other Emergency Medications 

 

 

For students who are not fully immunized due to religious, philisophical, or medical reasons. Medical exemptions require a physician's signature. Religious and philisophical reasons only require a signature from the parent or legal guardian. Complete and submit to the school. 

 

 State of Ohio Required Immunization 2018-2019