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Yearly Medical Forms
 
Over-The-Counter Medication Authorization Form (High School)
This form must be completed by the PARENT for the child to receive over the counter medication.  
 
Over-The-Counter Medication Authorization Form (Middle School) 
This form must be completed by the PARENT for the child to receive over the counter medication.
 
This form must be completed by the PARENT in order for the school personnel to give your child prescribed medicine at school. The PHYSICIAN STATEMENT must accompany this form.
 
Student Asthma Action Card
This form must be completed by the PARENT and PHYSICIAN for the child to receive prescribed asthma medication. The following forms which must be completed are: PARENTAL REQUEST FOR ADMINISTRATION OF MEDICATION, PHYSICIAN STATEMENT, and AUTHORIZATION FOR ASTHMA MEDICATION.
 
Seizure Plan
 
This form allows your healthcare provider to release medical information to the school.
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300 Hillman Drive
Cortland, OH 44410
330-637-4921

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