Medication Consent

medicationWhile at camp, will your child require any of the following?

  • OTC medication
  • Prescription Medication
  • Asthma Inhaler
  • Epi-pen

If so, the State of New Hampshire requires that we obtain a signed  Medication Consent 2017.

  • OTC Medication:
    Parents please complete Section One fully.  Please do not give any medication to the child. Medication must be in original container with child’s name clearly marked on it.
  • Prescription Medication:
    Parents please complete Section One fully.  Please do not give any medication to the child. Medication must be in original prescription bottle.
  • Inhalers:
    Parents please complete Section One and Section Two.  Physician must complete Section Three.
    *You may choose to allow your child to carry their own inhaler.
  • Epi-pens:
    Parents please complete Section One and Section Two.  Physician must complete Section Three.
    *You may choose to allow your child to carry their own epi-pen. If you choose this option, please list any adverse reactions that may occur to another camper, for whom the epinephrine/epi-pen is not prescribed, should the camper receive a dose of the medication.

If you have any questions; please call 642-7200.

Click here to download the Medication Consent 2017