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St. Croix Central School DistrictPhysician Order for Administration of Prescription MedicationName of Student: DOB: Grade: Teacher: Allergies: Prescription Information and Physician SignatureMedication:
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01
Obtain the necessary forms from the Croix Central School District office.
02
Fill in your personal information accurately, including your name, address, and contact details.
03
Provide information about your child, including their full name, birthdate, and any special education requirements, if applicable.
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Indicate your preferred school or grade level for your child.
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Attach any required documents, such as proof of residency or guardianship, to your application.
06
Review the completed form for any errors or omissions.
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Submit the filled-out form to the Croix Central School District office either in person or via mail.
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Wait for the district to process your application and communicate further instructions, if necessary.

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Croix Central School District is a school district located in Wisconsin, USA.
All residents within the Croix Central School District boundaries are required to file.
You can fill out the Croix Central School District form online or by mail.
The purpose of Croix Central School District is to collect information about the residents and their households within the district.
You must report information such as your name, address, number of people in your household, and any applicable exemptions.
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