Over-the-Counter Medication Permission:

In order for school personnel to administer any type of medication to the student, the Parent/Guardian must provide the signed authorization form. Please be sure to complete ALL of the information on this authorization form before returning it to school.

I hereby give/withhold my permission for The Provision School to administer the following non-prescription items:

The Provision School and Family Counseling Center, Inc. School Handbook p. 24