Calvary Road Christian School Parent Resources

Medication Authorization

Medication Authorization

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.
Medication Authorization

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

Medication Authorization
CRCS trained staff members have permission to administer the following medication
Check here to indicate agreement
This signed form is valid for 10 school days from the submission date
Sending
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Non-Discriminatory Policy

Calvary Road Christian School admits students of any race, color, or national or ethnic origin to all the rights, privileges, programs and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, sex or national or ethnic origin or handicap in the administration of its education, admissions or other school-administered programs.