This is the Authorization Form for the possession and use of an Asthma Inhaler.
This is the Authorization Form for student possession and use of an Epinephrine Autoinjector (EpiPen)
Please complete this form if the student requires medication at school.
Please complete this form and return it to GCCC.
CONTACT INFORMATION: 2960 West Enon Rd. Xenia, OH 45385 (PHONE) 937.372.6941 (FAX) 937.372.3125 Site Map