<p> . DeSoto Independent School District Health Services</p><p>The DeSoto Independent School district requires that all students who need non- prescription medication during school hours bring the medication in the original bottle to the clinic. The medication will only be given if there is written parent permission on file in the school clinic.</p><p>One-a-day, twice-a-day, and three-a-day medication should be given at home.</p><p>Student Name:______Date of Birth:______</p><p>Grade:______School: Woodridge Fine Arts Magnet Academy</p><p>PERMISSION FOR NON-PRESCRIPTION MEDICATION</p><p>I give permission for my child to receive the following non-prescription medication. I understand this can be requested for five (5) school days.</p><p>Name of Medication: ______</p><p>Dose to be given at school: ______</p><p>(This must coincide with the label directions.)</p><p>Time to be given at school: ______</p><p>Reason for medication: ______</p><p>______</p><p>(Date) Parent/Guardian Signature</p><p>Work phone: ______</p><p>Home phone: ______</p>