4400 Alma Avenue, Castro Valley, CA 94546 (510) 5373000-2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the 'Student Information' section. Enter the student's legal last name, first name, address, middle initial, grade, phone number, and date of birth.
3. In the 'Medical Information' section, check all applicable medical conditions. If there are allergies or other conditions not listed, specify them in the provided space.
4. For daily medications, list the name of the medication, dosage, and times given in the 'Medication(s)' section. Remember that a formal request is needed for medication dispensation at school.
5. Complete the 'Medical Authorization' section by providing your child's name and your signature as a legal guardian. Ensure you include emergency contact details and preferred doctor information.
6. Finally, review all entries for accuracy before saving or submitting your completed form through our platform.

Start using our editor today to streamline your document completion process for free!