Important Documents

2019 FORM A Medical Release and Behavior Contract-WS.pdf

This form which has two pages must be filled out and returned by ALL students. Please note that signatures are required from a parent and student on Page 2.

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Form B.Washington.pdf

This Form Must be filled out by all Trip Participants Parents/Guardians

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Student Medication Information for Washington D.C. Trip , May 2019

  • Students may carry over-the-counter medication in small amounts such as Tylenol, Advil, and allergy medications
  • Prescription Medications require a signed parent permission form (Form C)
  • Prescription Medications require a written doctor’s signature (Form D)
  • Prescription medications will be held and administered by the field trip nurse.
  • Please get prescription medications and the signed paperwork to the JGMS nurse’s office by Monday May 13th.
  • All medications must be in the original labeled medication/prescription bottle (this includes over-the-counter medication) We don’t accept medication in baggies or unlabeled containers.
  • Pack only enough medication for the trip.

EMERGENCY MEDICATIONS (EpiPens/Inhalers)

  • For Epipens- we will send a copy Emergency Action Plan that is on file at the nurse’s office with the field trip nurse (you do not need to send in forms C & D)
  • Inhalers or EpiPens should be held by the student.
  • Please remind students to pack it with them each day (Don’t leave in hotel room).

Please contact the nurse’s office at JGMS if you have any questions about medications for the field trip.


Tracy Fernald RN

School Nurse JGMS

781-275-3165

tracy_fernald@bedfordps.org


Form C.Washington DC Parent Permission Form.pdf

Form C:

This form ONLY needs to be filled out if your child has prescription medicine that they will be using while on the trip.

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FORM D_Washington DC MedicationOrderForm.pdf

Form D:

This form ONLY needs to be filled out if your child has prescription medicine that they will be using while on the trip.

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