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Trial Local Schools MEDICATION REQUEST FORM CDA To be completed by Prescribing Physician or authorized Prescribing Healthcare Provider Student Name Age Date of birth Grade Teacher School Year Name
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Start by downloading the jhcd-a form from the Triway Local Schools website.
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Carefully read through the instructions provided on the form to ensure you understand the requirements.
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Begin filling out the form by providing your personal information, such as your name, address, and contact details.
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Follow the prompts to provide information about the student who will be attending Triway Local Schools, including their name, date of birth, and grade level.
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Sign and date the form where indicated.
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Submit the completed jhcd-a form to the designated Triway Local Schools office or online portal, as instructed.

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Students who are planning to enroll in Triway Local Schools.
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Jhcd-a Triway Local Schools is the name of a specific school district.
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