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Request Form to Dispense OvertheCounter Medications at School 20202021I request and give my permission to the school nurse to administer to my child: Student name (printed) Date of BirthGradePlease
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Parent request for otc is a form submitted to request over-the-counter medication for a minor child.
A parent or legal guardian is required to file the parent request for otc.
Parent request for otc is typically filled out with the child's information, specific medication needed, dosage instructions, and parent/guardian contact information.
The purpose of parent request for otc is to authorize the minor child to receive over-the-counter medication at a school or daycare facility.
The parent request for otc must include the child's name, date of birth, specific medication needed, dosage instructions, parent/guardian contact information, and any allergies or medical conditions.
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