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Get NH Contoocook Valley School District Consent For Over The Counter Medication Administration 2020-2024

4-0046 Student Name DOB / / School Year 2020-2021 I give permission for my child to receive any medication checked below on this form. I understand that generic equivalent medications may be used. Medications/First Aid Product: Acetaminophen (e.g. Tylenol) Aloe Antacids (e.g. Tums) Bacitracin Ointment (antibiotic oi.

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