Product Code: 52A
Availability: In Stock
Price: $2.70

5 or more $2.24
10 or more $2.00
50 or more $1.95
100 or more $1.80

Available Options

* Paper color:

Same as form 52 but includes Ibuprofen in the Medication Box!

  • Emergency card with a check box asking what medications may be given.
  • 3 x 5 size.
  • Index card stock.
  • Double-sided.
  • Front includes student info, parent/guardian, contact info and a list of 3 people if parent cannot be reached.
  • Back includes medication box (optional info), authorization from parent and physician's info.
  • Stock paper color
    • White
  • Custom paper color ($1 extra per pack).
    • Pink
    • Yellow
    • Green
    • Blue
  • Also available in:
    • 4 x 6 Size 52L3.
  • Sold per pack.
  • 1 pack = 100 cards.
  • Sold for $2.70/pack.

Quantity Discount: Order more forms for less!

  • Order 5 packs (500 cards) or more for $2.24 per pack.
  • Order 10 packs (1,000 cards) or more for $2.00 per pack
  • Order 50 packs (5,000 cards) or more for $1.95 per pack.
  • Order 100 packs (10,000 cards) or more for $1.85 per pack.