Bellbrook High School

  • Form to authorize administration of medication to student at school

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    Authorization for Administration of Prescription or Over-the-Counter Medication by School Personnel.

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  • Authorization for Administration of Non Prescription/Over-the-Counter Medication (OTC)

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    Medication form for parent/guardians to complete to authorize the administration of non-prescription medications such as Advil or Tylenol for occasional use.  Parents will be notified when the student receives an OTC medication.  However, if your student needs an OTC medication on a regular basis or at a different dosage than typically given according to the label on the medication bottle, the physican and parent will need to complete the authorization form for Prescription medications.   Parents will be responsible for providing those medications.   If you have any questions, please contact the school nurse in your child's building.

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  • Authorization for Student Possession and/or Use of an Epinephrine Autoinjector, Asthma inhaler, Glucagon and/or glucometer for testing blood sugars.

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    Medication form for the Authorization for Student Possession and Use of an Epi-pen, Inhaler, Glucagon and/or Glucometer to be completed by parent/guardian and physician.

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  • Emergency Medical Authorization Form

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    The purpose of this form is to enable the parent/guardian to authorize emergency treatment for  their child who may become ill or injured while under  school authority when the parent/guardian cannot be reached or when the emergency occurs while the child is enroute to and from school on the school bus.   

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  • School Health Examination Record - Health and Immunization History

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    To be completed by parents for all new students entering the district either initially with preschool or kindergarten or for all transfer students. 

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Last Modified on May 16, 2011
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