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Exhibit 8534.00E(1) Page 1 of 3 STUDENT MEDICATION Programs To be filled in by school personnel: PUPIL BD CA SCHOOL Last First Initial Staff Person Supervising Medication Program: Position: Staff
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How to fill out student medication program

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How to fill out a student medication program:

01
Obtain the necessary forms from your school or educational institution. These forms may be available online or at the school's administration office.
02
Fill out personal information such as your name, date of birth, and contact details. Make sure to provide accurate and up-to-date information.
03
Provide a detailed medical history, including any chronic conditions, allergies, or medications you are currently taking. This information will help healthcare providers in case of an emergency.
04
Indicate your emergency contact information. This should include the name, relationship, and phone number of at least one person who can be reached in case of a medical issue.
05
Review the medication policies set by your school. Some schools have specific guidelines and restrictions on the types of medications that can be administered on campus. Make sure to follow these guidelines when filling out the form.
06
If you require any ongoing medications during school hours, specify the name of the medication, dosage instructions, and any potential side effects or precautions.
07
Sign and date the form to confirm that all the provided information is accurate and complete.
08
Return the completed form to the designated school personnel or follow the instructions provided by your school on submitting the form.

Who needs a student medication program:

01
Students with chronic medical conditions that require regular medication during school hours. This could include conditions such as asthma, diabetes, epilepsy, or severe allergies.
02
Students who have recently been prescribed medication that needs to be taken during school hours. This could apply to temporary conditions or short-term prescriptions.
03
Students who may require emergency medication, such as epinephrine auto-injectors for severe allergic reactions.
It’s important to note that the specific requirements for a student medication program may vary between schools and educational institutions. It's always best to consult with your school's administration or healthcare staff for the most accurate and up-to-date information.
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Student medication program is a program designed to manage and administer medication to students who need it during school hours.
School administrators and nurses are required to file the student medication program.
To fill out the student medication program, school staff must collect information about the student's medication needs, dosages, and administration instructions.
The purpose of student medication program is to ensure the safety and well-being of students who require medication during school hours.
Information such as student's name, medication name, dosage, administration instructions, and emergency contact information must be reported on the student medication program.
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