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CA SJUSD School Medication Permission Form (CEC 49423) 2009-2025 free printable template

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San Jose Unified School District Health Services School Medication Permission Form (CEC 49423) This form must be completed fully in order for schools to administer the required medication. A new Medication
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How to fill out school medication administration form

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How to fill out CA SJUSD School Medication Permission Form (CEC

01
Obtain the CA SJUSD School Medication Permission Form (CEC) from your school's office or website.
02
Fill in the student's full name and date of birth at the top of the form.
03
Provide the name of the medication, dosage, and the frequency of administration.
04
Indicate the specific time the medication should be given at school.
05
Complete the parent's or guardian's contact information, including name and phone number.
06
Provide the doctor's name and contact information, along with any relevant medical conditions.
07
Sign and date the form to authorize the administration of medication by school staff.

Who needs CA SJUSD School Medication Permission Form (CEC?

01
Students who require medication during school hours for chronic conditions or illnesses.
02
Parents or guardians of students who have an Individualized Education Program (IEP) that includes medication.
03
Students who are prescribed short-term medications that need to be taken while at school.
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People Also Ask about

The Medication Administration Record (MAR) is used to document medications taken by each individual. A MAR includes: 1.
Types of medicines Liquid. The active part of the medicine is combined with a liquid to make it easier to take or better absorbed. Tablet. The active ingredient is combined with another substance and pressed into a round or oval solid shape. Capsules. Topical medicines. Suppositories. Drops. Inhalers. Injections.
The 4 Categories of Medication General Sales List (GSL) GSLs are a type of medicine that have few legal restrictions. Pharmacy Medicines. Pharmacy Medicines are only available to purchase behind the counter at a pharmacy. Prescription Only Medicines. Controlled Drugs.
It is to be used to support a current treatment sheet, it is not to replace it or any other reporting requirements.
-A record of each administration of a patient's medication is documented on a legal document called the medication administration record (MAR).
Name of medication, dosage, route, time, An area for staff signatures, initials or other means for agency-specific staff identification. Acronyms are used to describe the reasons why medications were not given.

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The CA SJUSD School Medication Permission Form (CEC) is a document required by the San Jose Unified School District to authorize the administration of medication to students during school hours.
The form must be filed by parents or guardians of students who require medication to be administered during school hours.
To fill out the form, complete all required sections, including student information, medication details, dosage, administration times, and provide a parent's signature along with the physician's authorization if necessary.
The purpose of the form is to ensure that students can receive necessary medications safely and in accordance with legal and health guidelines while at school.
The form must report the student's name, medication name, dosage, frequency of administration, specific instructions, and signatures from both the parent/guardian and the prescribing physician, if applicable.
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