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This document serves as a request for the administration of medication to students during school hours, requiring completion by a physician and parental authorization for compliance with school policies.
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How to fill out request for medication to
How to fill out Request for Medication to be Given During School Hours
01
Obtain the Request for Medication to be Given During School Hours form from the school office or the school's website.
02
Fill out the student's personal information including name, grade, and teacher.
03
Provide details about the medication, including the name of the medication, dosage, frequency, and the reason for the medication.
04
Include any specific instructions for administering the medication.
05
Have a licensed healthcare provider complete and sign the section designated for medical authorization.
06
Obtain a parent or guardian's signature to give permission for the school to administer the medication.
07
Submit the completed form to the school nurse or the designated school personnel.
Who needs Request for Medication to be Given During School Hours?
01
Students who require medication to be given during school hours due to health conditions.
02
Parents or guardians of students who need to ensure the medication is administered correctly at school.
03
School staff responsible for the administration of medication during school hours.
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What is Request for Medication to be Given During School Hours?
It is a formal document submitted by parents or guardians to request the administration of prescribed medication to a student during school hours.
Who is required to file Request for Medication to be Given During School Hours?
Parents or guardians of students who need medication during school hours are required to file this request.
How to fill out Request for Medication to be Given During School Hours?
Fill out the form with the student's name, medication details, dosage, administration times, and physician's information, then submit it to the school office.
What is the purpose of Request for Medication to be Given During School Hours?
The purpose is to ensure that students receive necessary medication safely and in accordance with medical instructions while they are at school.
What information must be reported on Request for Medication to be Given During School Hours?
The form must include the student's name, date of birth, medication name, dosage, frequency of administration, the prescribing physician's name, and any specific instructions.
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