6th Grade DC Trip Medical Form

Please list any medical conditions (including allergies) that chaperones and physicians should be aware of before treating your child. If there are none, please indicate "None".

Please list any prescription or over-the-counter medications you are sending with your child on the trip. Please state the name of the medication, the dose, and when it should be administered to your child. All supplied medications will be administered by the trip nurse. If your child is not bringing any medications, please indicate "None".