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Annual Student Prescription Medication Forms

To be filled out annually: Student Medication Forms

We want to encouraging families to fill this out prior to the start of school if their child is on prescription medications and/or would like to keep medications at school. Forms must be signed by the doctor and turned into the school if your child will be taking/keeping a medication at school this year..... A new form must be filled out each year before medication can be accepted by school nurses.




HCMS 21-22 Supply List




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Hancock County Middle School
100 State Route 271 South
Lewisport, KY 42351  

Phone: 270-927-6712 
Fax: 270-927-9895