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OTC Medication Self-Administration Authorization Form for Minors
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Document Date: 2014-03-20 11:24:37

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File Size: 59,41 KB

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City

Erie / /

Company

Flagship Niagara League Inc. / /

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MedicalCondition

allergy / congestion/cough / cough / allergic reaction / pain/fever / skin irritation / muscle aches / /

Organization

Flagship Niagara League / /

/

Product

Mucinex / Ibuprofen / Antacid Tablets / Claritin / Hydrocortisone / Acetaminophen / Acetaminophen 500 mg 1 / Doxylamine Succinate / Chlorpheniramine Maleate / Benadryl / Claritin 1 / /

ProvinceOrState

Pennsylvania / /

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