Courtney Prutzman, BSN, RN, NCSN
School Nurse at North Graham Elementary School
Medication Authorization Form:
If your child will need medication during the school day this year please have this form below filled out by your healthcare practitioner and signed by parent. Please present the completed Medication Authorization Form to your child’s school next year. Our medication policy requires a new medication authorization form for each school year to be filled out and signed by a healthcare practitioner and parent.