Haines Home  Mrs. Barbara Caruso Teacher Home
email phone ext. 8534   Nurse's Office Panther since '81
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Medication Sheet

If your child must take prescription or over the counter medication on a regular basis at school , please down load this form and take it to your physician to be filled out. Forms may also be picked up picked Nurse's Office  The medication must be brought to school by an adult and given to the nurse.  The medication must be in the original container and must be labeled with the child's name and the dosage instructions.  Over the counter medications must be in the original container or box labeled with the child's name.  Children may not carry medications on their person.  The only exception to this rule is epipens and inhalers that have proper physician documentation. 
Medication Authorization Form Please have your Doctor fill out the top portion of the sheet.  Parent signature required on the bottom.