This form is required if your student requires prescription, over the counter and/or herbal remedies medication during school hours.
This form can be reviewed with your student's physician and added to his/her medical records as a more detailed plan of care.
This form is to be completed by the school nurse every 4 years for employees and parent volunteers.
1219 Whispering Wind Drive Tracy, CA 95377
Phone: 209-836-3388Fax: 209-836-2930