Over-The-Counter Medication Administration Permission FormYour Name *Email Address *Phone *Please fill out for each camper you have attending.Camper Full Name *Please review the list below. Uncheck the meds you DO NOT allow staff to administer to this camperAcetaminophen (Tylenol): pain, fever, headachesAntacid (TUMS, Rolaids): reflux, heartburn, nauseaBacitracin: open wound prevention of infectionBismuth subsalicylate (PeptoBismol): nausea, indigestionDiphenhydramine (Benadryl): allergyHydrocortisone: rashIbuprofen (Advil, Motrin): pain, fever, headachesSaline Eye Wash: eye washSunscreen: sunburn preventionZinc burn cream: burn injuryAdditional Notes (optional)Submit
