COOPER HEALTH OFFICE
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Below are the forms you will need for medication administration and student physicals. Please click on the link below to download the proper form. If you are unsure which form you need to complete, please call the nurse's office for assistance. 856-424-4554 (option 2)

​                **MEDICATION ADMINISTRATION POLICY PLEASE CLICK ON LINK BELOW**
​                                                                    -Cherry Hill Public Schools- MEDICATION POLICY

The medication administration forms are to be used for all prescribed medications and over the counter medications. ​NO medication will be administered in school without the proper completed forms. please see the MEDICATION ADMINISTRATION POLICY!
This form must be completed for all prescription/over the counter medication administered in school. 
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Medication Authorization Form
File Size: 16 kb
File Type: docx
Download File

Tylenol/Ibuprofen Form
File Size: 7 kb
File Type: docx
Download File

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                                                                                        Please complete the medication admin. form in addition to the asthma action plan
Asthma Action Plan
File Size: 1508 kb
File Type: pdf
Download File

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Universal Health Record
File Size: 35 kb
File Type: pdf
Download File

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  • Home
  • Mrs. Fleischmann
  • Health Topics
  • Immunizations
  • medication, asthma and entrance physical form
  • Administration of Epinephrine
  • Middle School Sports Physical Information