Student Health Form UpdateStudent Health Form Student First NameStudent Last NameGradeName of the person completing the medical information updatePhone number of the person completing the medical information updateEmail of the person completing the medical information updateList any allergies the student hasList any special conditions the student hasI give permission for my child to be administered the following over the counter medications provided by the school. Cough Drops Ibuprofen (Advil, Motrin) Acetaminophen (Tylenol) Antacid (Tums) Diphenhydramine HCL (Benadryl) Ambesol Sore Throat Spray Sunscreen Insect Repellant Otherif other, please specifyPhysician InformationDoctor's NameDoctor's Phone NumberDental InformationDentist's NameDentist's Phone NumberSubmit Form
