2024 OTC Medications Consent Form

    Oral OTC

    • Acetaminophen

    • Antacid

    • Anti-constipation

    • Anti-diarrhea

    • Antihistamine

    • Anti-motion sickness

    • Anti-nausea

    • Cough drops

    • Cough Suppressant

    • Decongestant

    • Ibuprofen

    • Naproxen

    • Topical OTC

    • Antibiotic cream

    • Anti-itch

    • Sunscreen

    I/We fully consent to my/our teen receiving the OTC medications listed above as deemed necessary by the Y2I Staff and/or Medic.

    I/We do not consent to my/our teen receiving OTC.

    By selecting "We Accept" using any device, means or action, you consent to the legally binding terms and conditions of this Agreement. You further agree that your signature on this document (hereafter referred to as your "E-Signature") is as valid as if you signed the document in writing.

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