Required for all prescription and over-the-counter medications administered at school. Must have physician and parent signature.Good for (3) days only, does not require a physician's signature to administer. Please read form carefully prior to sending in with your student.For student who do not meet the state-required minimum for immunizations due to health/medical, religious, or philosophical reasons. Complete and return to your student's school. Immunization exemptions do not need to be completed every year. Please contact the clinic with any questions and/or concerns regarding this.
Last Modified on May 28, 2020