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Asthma / Pharmaceutical sciences / Respiratory therapy / Inhaler / Metered-dose inhaler / Medical prescription / Medicine / Dosage forms / Pharmacology


ST. JOHNS COUNTY SCHOOL DISTRICT AUTHORIZATION TO ASSIST IN THE ADMINISTRATION OF MEDICATION/TREATMENT Student’s Name: _________________________________________ Date of Birth:__________________
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Document Date: 2014-01-24 15:39:11


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Florida Statue / /

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Birth /

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Position

Physician / Parent/Guardian Signature /

Product

Glucagon / /

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ST. JOHNS COUNTY / Florida / /

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cellular telephone / /

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