Get the free BELLEVUE CITY SCHOOLS MEDICATION AUTHORIZATION FORM

This form is used for authorizing medications to be administered to students at Bellevue City Schools, requiring information from both the parent/guardian and the prescriber.

How to fill out bellevue city schools medication

How to fill out BELLEVUE CITY SCHOOLS MEDICATION AUTHORIZATION FORM

1. Obtain the BELLEVUE CITY SCHOOLS MEDICATION AUTHORIZATION FORM from the school's website or office.
2. Fill in the student's personal information accurately, including their name, grade, and date of birth.
3. Provide details of the medication, including the name, dosage, frequency, and route of administration.
4. Indicate the duration for which the medication needs to be administered.
5. Have the parent or guardian sign and date the form to authorize administration.
6. If applicable, have the child's healthcare provider complete their section of the form, including their signature.

Who needs BELLEVUE CITY SCHOOLS MEDICATION AUTHORIZATION FORM?

1. Students who require medication to be administered during school hours.
2. Parents or guardians of students who have a medical condition that necessitates medication.
3. Healthcare providers who prescribe medication for students must complete the form.

For pdfFiller’s FAQs

What is BELLEVUE CITY SCHOOLS MEDICATION AUTHORIZATION FORM?

The Bellevue City Schools Medication Authorization Form is a document that allows parents or guardians to give permission for school personnel to administer medication to a student during school hours.

Who is required to file BELLEVUE CITY SCHOOLS MEDICATION AUTHORIZATION FORM?

The form is required to be filed by parents or guardians of students who need to take medication during school hours.

How to fill out BELLEVUE CITY SCHOOLS MEDICATION AUTHORIZATION FORM?

To fill out the form, parents or guardians must provide the student's information, the medication details, dosage, administration times, and any special instructions, and then sign the form.

What is the purpose of BELLEVUE CITY SCHOOLS MEDICATION AUTHORIZATION FORM?

The purpose of the form is to ensure that medications are administered safely and according to the doctor's instructions while ensuring that parents or guardians give consent for this to occur.

What information must be reported on BELLEVUE CITY SCHOOLS MEDICATION AUTHORIZATION FORM?

The information that must be reported includes the student's name, date of birth, the name of the medication, dosage, frequency of administration, possible side effects, and the signatures of both the parent or guardian and the healthcare provider, if applicable.