School Daily Medication Log

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McALLEN INDEPENDENT SCHOOL DISTRICT
Daily Medication Log
Month:____________
School Year:___________
Week of:________ Week of:________ Week of:________ Week of:________
Dose
Time
Student
ID#
Rm
Medication
M T W T F M T W T F M T W T F M T W T F
Initial Signature
Initial
Signature
Codes
A = Absent
H = Hold
R = Refused
X = No School
OM = Out of Medication

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