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Get Request for Administration of Medications In Hampton Roads Schools 2002

Request for Administration of Medication In Hampton Roads Schools This form is accepted by all public schools in Chesapeake Norfolk Portsmouth Suffolk and Virginia Beach NOTICE TO PARENTS The parent/legal guardian must bring medication to school in a container that is appropriately labeled by the pharmacy or physician. Today s Date Name of Student Last First MI School Student Attends Student s Date of Birth Mo/Day/Yr Student s Diagnosis Medicati.

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