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Get Medication Consent Form - Chandler Unified School District

CUSD Health Manual and Forms Chandler Unified School District CONSENT FOR GIVING PRESCRIPTION AND NON-PRESCRIPTION MEDICATION AT SCHOOL FORM Please check here if NON-prescription Student Name Birthdate For prescription medication the healthcare provider must complete the information required below. Medication must be delivered to school in the original container with the label intact and is to be given in the following manner Name of Medication S.

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