If you don’t want to submit the form online you can click the link below to download the file and submit to our school.
For Prescription and Non-prescription Medications VDSS Division of Licensing Programs Model Form INSTRUCTIONS:
1. Section A must be completed by the parent/guardian for ALL medication authorizations.
2. Section A and Section B must be completed for any long-term medication authorizations (those lasting longer than 10 working days). In order to submit section B, you must download the form and take it to your physician to be signed.
Section A: To be completed by parent/guardian