West Intermediate School (grades 3-5)

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Medical Forms

Non- Prescription Form

Please complete form and bring to school with medicine. All medicine must be brought to school by an adult.

Prescription Medicine Form

Please have physician complete his/her section of form and bring to school along with completed parent section. All medicine must be brought to school by an adult.

Use and Possession of Inhaler

Please have physician complete section along with parent section and return to school.

Epi Pen Form

Must be completed and returned to school by an adult.