Headings
Respiratory Care Action Plan
Pediatric Pulmonology
Continue daily medications and add or increase the following
Respiratory Care Action Plan
Pediatric Pulmonology
Authorization *Authorization for Administration of Medication Away from Mayo Clinic *
This consent may supplement the school or daycare’s consent to give medicine and allows my child’s medicine to be given at school/daycare or school/daycare−related events.
Parent / Guardian Signature Date