This form needs to be completed by both the parent and the student’s doctor.
Click here to download the form. Or you may pick up a copy from the Serra Mesa office during normal business hours, beginning Monday, August 6.
The completed form can be faxed to us at (619) 839-3700, scanned and emailed to email@example.com or turned in to the school office when you bring in the medication.
Please Note: If you are a returning student, last year’s form cannot be rolled over to this new year – a new one must be submitted.