In order for medication to be dispensed to a student, the form below must be completed by a Parent/Guardian.
This form will be in lieu of a telephone call each time the student requires such medication while enrolled at Gaudet Middle School and Learning Academy. It is understood that parents will be notified if the request for medication becomes excessive.
Please signify your approval that the School Nurse may administer medication per School Physicians Standing Orders for minor complaints.
Administration of any other medication in school requires completion of a different form or a note from student's prescriber providing authorization.
Please contact the school nurse, Nina Phillips at 401-846-6395 or email@example.com if you have any questions.