Forms for Parents/Guardians to give to the School Nurse:

• Medication Authorization Form

• Over The Counter Medication Authorization Form

• Immunization registry release

• Physical Form that you can use but NOT REQUIRED

Jessica Patton

Anita Rogers

Phone: 785-883-2996 Ext 1020

Email: jlpatton@usd289.org

Email: ARogers@usd289.org