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Mercer County School District #404 District Office: 1002 SW 6th Street Aldo, Illinois 61231 Phone: 309.582.2238 Fax: 309.582.7428 www.mercerschools.org SCHOOL AUTHORIZATION MEDICATION FORM Medication
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How to fill out school authorization medication form

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How to fill out a school authorization medication form:

01
Gather the necessary information: Before starting to fill out the form, make sure you have all the relevant details. This might include the student's name, date of birth, school name, and contact information for both the parent/guardian and the healthcare provider.
02
Section 1: Student Information - In this section, provide accurate and complete details about the student for whom the medication form is being filled out. This usually includes the student's full name, date of birth, grade level, and any specific medical conditions or allergies.
03
Section 2: Medication Details - Clearly state the medication name, dosage, and administration instructions. Include the frequency of administration (e.g., once daily or as needed) and any specific times or circumstances when the medication should be given (e.g., before lunch or during a field trip).
04
Section 3: Instructions for Administration - If there are any special instructions or precautions regarding the administration of the medication, such as whether it should be taken with or without food, this is the section to include them. Be concise and specific to ensure proper understanding.
05
Section 4: Emergency Contact Information - Provide emergency contact details for both the parent/guardian and the healthcare provider. Include their names, phone numbers, and any additional emergency contacts who should be notified in case of an adverse reaction or unexpected event.
06
Section 5: Parent/Guardian Consent - This section is where the parent or guardian signs to indicate their consent for the administration of the medication as outlined on the form. Make sure to read and understand all the details before signing to ensure compliance and safety.
07
Deliver the completed form: Once you have filled out the school authorization medication form, make sure to deliver it to the appropriate authority at the school. This may be the school nurse, front office staff, or any designated person responsible for managing medication administration.

Who needs a school authorization medication form?

01
Students requiring regular medication at school: Any student who needs to take prescribed or over-the-counter medication during school hours should have a school authorization medication form. This form ensures that the school is aware of the student's medical needs and enables them to administer the medication safely and accurately.
02
Students with chronic medical conditions: If a student has a chronic medical condition that requires medication during school hours, such as asthma, diabetes, or severe allergies, a school authorization medication form is necessary. It provides important information to the school staff about the student's condition and helps them respond appropriately in case of an emergency.
03
Students participating in school-sponsored trips and activities: In some cases, students may need to take medication during field trips, sport events, or other school-sponsored activities. To ensure the safety and wellbeing of these students, a school authorization medication form is required so that the school staff or chaperones can administer the medication as needed.
04
Students with short-term medication needs: Even students who require short-term medication, such as antibiotics, pain relievers, or temporary treatments, should have a school authorization medication form. This ensures that the school is aware of the specific medication being administered and can monitor any potential side effects or interactions.
In summary, anyone who needs to have medication administered while at school or school-sponsored events should have a school authorization medication form. It ensures proper communication, safety, and adherence to the student's healthcare needs.
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The school authorization medication form is a document that allows students to take medication while at school.
Parents or guardians of students who require medication during school hours are required to file the school authorization medication form.
To fill out the school authorization medication form, parents or guardians must provide information about the student, the medication, dosage, and instructions for administration.
The purpose of the school authorization medication form is to ensure that students receive their medication safely and on time while at school.
The school authorization medication form must include the student's name, the name of the medication, dosage, administration instructions, and emergency contact information.
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