Forms

Frequently Used Forms

Permission to administer prescription medication

drive.google.com/file/d/1Zl7iqEcmrwIc0Qy1cWq3AKlNIGwPNyht/view?usp=sharing

Permission to administer non-prescription medication

drive.google.com/file/d/1Jp0tVlZu27j7sn04T33Hc188YLUT6pJ1/view?usp=sharing

Annual Student Health Information Update (2016).pdf

Annual Health Update with releases on the back

Liability Letter

Release of liability for students carrying emergency medication

Annual Asthma Action Plan

dvha.vermont.gov/sites/dvha/files/documents/providers/VCCI/asthma-action-plan-child.pdf

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