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20152016 CROWLEY INDEPENDENT SCHOOL DISTRICT Medication Administration Authorization Form/Elementary Students Name: DOB: Allergies: Date of Request School: Teacher/Grade Medication Administration
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Open the medicationadmin2015-16-elementarydocx - sww crowleyisdtx file using a word processing software.
02
Start by entering the necessary information such as the student's name, date of birth, and grade.
03
Fill in the student's contact information, including their address, phone number, and emergency contact details.
04
Review the sections related to the student's medical history and allergies. Fill in any relevant information accurately and thoroughly.
05
Read the medication administration guidelines carefully and follow the instructions provided. In this section, you may need to indicate whether the student requires any medication to be administered during school hours.
06
Take note of any specific instructions or additional documents that need to be attached to the form, such as a physician's prescription or consent form.
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Who Needs medicationadmin2015-16-elementarydocx - sww crowleyisdtx:

01
Students in an elementary school within the Crowley Independent School District.
02
Students who require medication to be administered during school hours.
03
Parents or guardians of the students who need to provide necessary medical information and instructions to the school.
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This document is a form used for reporting medication administration in the elementary schools within the Crowley Independent School District in Texas.
School nurses or designated staff members responsible for administering medication to students are required to fill out and file this form.
The form must be filled out accurately with details of each student receiving medication, including the type of medication, dosage, frequency, and any special instructions.
The purpose of this form is to ensure that proper records are maintained for medication administration to students in elementary schools in the Crowley Independent School District.
The form must include details of the student, the medication being administered, dosage, frequency, any side effects or special instructions, and the signature of the person administering the medication.
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