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Board of Education 1000 Edgewood Dr. Marysville OH 43040 Office 937-578-6100 Fax 937-578-6113 Innovate Collaborate Inspire www. I also understand that pursuant to Ohio Revised Code Section 3316. 716 the Board of Education and its employees are not liable for my child s selfadministration of this medication. June 2017. Marysville. k12. oh. us AUTHORIZATION FORM SELF-MEDICATION - ASTHMA INHALERS Form MEVS H-3 This form must be completed by both the physician who prescribes the asthma inhaler...
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