CULLMAN CITY HEAD START
Office phone: 256-775-0234
Student Medication Form
For any medications to be administered at school, you need to submit the following items:
- A Medication Authorization form completed and signed.
- 2.The medication must be in an original, unopened, sealed container identifying the medication and the manufacturer’s labeling plus the student’s name written legibly on the container (supplied by the parent/guardian.)
- The medication must be carried to and signed in at school in the nurse room by the parent/guardian.
THANK YOU FOR VISITING AND
HAVE A HEALTHY DAY!