OTC Medication Administration Form

In consideration from the overseeing and administration of the above OTC medication for my child, I hereby release, discharge and indemnify the Diocese of Toledo Catholic/Private Schools, St. Joseph Maumee and the school personnel in the overseeing and administration of the above OTC medication herein described from all claims, demands, actions, judgments and executions which may arise from the overseeing or administration of the OTC medication. I(we) agree to notify the school immediately if there is any change in the above treatment regimen and will provide the school with a new form. None of the above medications are to be administered without parent signature. All medications will be available to the student in the Health Office. The undersigned have read this form and understand all of its terms.

Please note: ANY prescription medication that needs to be given during the school day will need a Doctor’s order.