Prescription Med Form

Students traveling to Britain with the band during spring break need a doctor’s signature on the attached form for each prescription medication they need administered by a FMSD employee (nurse or band staff) on the trip.  Please print and complete this form before the trip meeting on March 21st.

Anita Barradale (FMHS R-wing Nurse) will attend that meeting and collect these forms; she will also make the trip to Britain with us.  There is a separate form for OTC medications, but no physician signature is required on that form.  You can complete the OTC medication form at the meeting.

If you have questions about medications before the meeting, please contact Mrs. Barradale.

Download Prescription Med Form