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Beachwood City School District Print Form Student Carry and Administer Own Inhaler To Be Completed by Doctor: Student Name: Date of Birth: School: Grade: Address: Prescribed Drug: Reason for Medication:
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How to fill out student carry and administer:

01
Gather all necessary information: Before filling out the student carry and administer form, make sure you have all the required information at hand. This may include the student's name, date of birth, medical conditions, emergency contact information, and any specific instructions or medications they require.
02
Fill out personal details: Start by entering the student's personal details accurately and completely. This may include their full name, date of birth, address, and contact information. Double-check the information to ensure there are no spelling or contact errors.
03
Include medical information: This section is crucial as it provides essential details about the student's medical conditions, allergies, and medications. Carefully fill out any medical conditions or allergies the student may have, ensuring accurate spelling and specific instructions for administering medications or responding to emergencies.
04
Emergency contact information: Provide the contact details of the student's emergency contacts. Include at least two reliable contacts and their relationship to the student. It's important to ensure that these contacts are readily available and aware of their role in case of any emergencies.
05
Signatures and consents: The form may require signatures from various parties involved. This typically includes the student's parent or guardian, the school administration, and sometimes the student themselves. Read the form carefully to identify the sections where signatures are required and ensure they are completed correctly.

Who needs student carry and administer?

01
Students with ongoing medical conditions: The student carry and administer form is essential for students who have chronic or ongoing medical conditions. This may include allergies, diabetes, asthma, epilepsy, or any other condition that requires regular monitoring or medication administration.
02
Students requiring emergency medication: If a student requires emergency medication such as an EpiPen for severe allergic reactions, a rescue inhaler for asthma attacks, or any other essential medications, they would need a student carry and administer form. This ensures that the school staff are aware and trained on properly administering the medication when necessary.
03
Students participating in field trips or extracurricular activities: It is crucial for students who participate in off-campus activities or excursions to have a student carry and administer form. This allows the school staff to be aware of any potential medical concerns and ensures the proper administration of medications during these events.
Remember, it is essential to consult with your school administration or healthcare provider for specific guidelines or requirements related to filling out the student carry and administer form.
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Student carry and administer refers to the practice of students self-administering medication during school hours.
The school nurse or designated school staff is required to file student carry and administer.
Student carry and administer forms can usually be filled out online or in person at the school's health office.
The purpose of student carry and administer is to ensure that students who require medication during school hours can safely and effectively self-administer it.
Information such as the student's name, medication name, dosage, administration instructions, and emergency contact information must be reported on student carry and administer forms.
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