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MEDICATION In compliance with the Orchard Park School District and the State of New York, we hereby request the School Nurse to follow instructions in the treatment of: Child s Name Date Signature
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Use legible handwriting or type: If you are filling out a paper form, use legible handwriting to ensure that the information can be easily read. If you have the option, it is often recommended to type directly into the form using a computer to ensure clarity.
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Be mindful of deadlines: If the form has a specific deadline, make sure to complete and submit it within the given timeframe. Being aware of deadlines helps you comply with any time-sensitive requirements.

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