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Revised 1/14/2015 I hereby grant permission to any staff member to provide the following over-the-counter drugs or their generic equivalent to my son/daughter if requested by my son/daughter Check all that apply Tylenol/Acetaminophen Benadryl Diphenhydramine Advil/ Ibuprofen Imodium/ Antidiarrheal Neosporin/Antibody Ointment Pepto Bismol Doses of such drugs will be provided in accordance with the instructions contained on the drugs packaging. ST. LOUIS CYM PERMISSION FORM RELEASE CODE OF...

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