Form B2

The Form B2 is an authorization form for the dispensation of over-the-counter medication. It is to be filled out by participants who require over-the-counter medication. The form includes fields for program information, participant information and consent for dispensation. The completed form should be submitted to the program director.

Participants requiring over-the-counter medication.

The completed Form B2 should be submitted to the program director at the University of Tennessee Chattanooga.