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<br />OCDSB 287 School Operations (June 2014) Confidential When Complete <br /> Page 1 of 2 <br /> Distribution: OSR <br /> <br /> <br /> <br />Student Medication Log <br />(References: P.108.SCO and PR.547.SCO, PR.548.SCO and PR.632.SCO) <br /> <br />Student’s Name: Student Number <br />School Name: Grade/Room: <br />Principal’s Name: Home Form Teacher: <br />Name of Medication: Dosage(s): <br /> <br />Month: Month: Month: Month: <br />Date Time Initial <br /> <br />Date Time Initial <br /> <br />Date Time Initial <br /> <br />Date Time Initial <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />