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Medical Release Form

Dear Parent:

To ensure that your child has a safe and secure visit at Oratory Preparatory School, we ask that you provide the following medical/emergency information prior to your child’s visit. Please be sure to schedule your appointment before completing this form. This should be done no less than two business days prior to the date your child is scheduled to be on campus. Thank you for your cooperation in this matter.

Sincerely,

Thomas R. Boniello
Director of Admissions

Please complete the form below. Mandatory fields marked *

Grade Student Will Visit*
Answer Required
Does your child have any allergies (food, insect sting, environmental)?*
Answer Required
Is your child asthmatic?*
Answer Required
Is there any medical condition which requires monitoring or limitation of daily activities?*
Answer Required
Does your son take any medications on a daily basis (including inhalers) which the nurse will need to administer?*
Answer Required

If "yes", the medication must be brought directly to the Oratory Prep nurse's office accordingly:

  • In the original, properly labeled container,
  • With a doctor's prescription (Fax# 844-965-9418), and
  • With signed permission from the parent/guardian for the school nurse to administer the medication.
Contact Information

If someone other than a parent is picking up the child at the end of the day, please identify him or her:

Confirmation Email