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Authorization for Medication during School Hours To be returned to the Health Room This information is confidential Section I: For the Parent/Guardian of: (Students Name): PER CTI policy, students
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Start by carefully reading the form and understanding each section's purpose.
02
Fill in the student's personal information, including their full name, date of birth, and contact information.
03
Provide the name of the school or institution where the student is enrolled.
04
Specify the medical condition or conditions that the student has, along with any relevant details or special considerations.
05
Indicate the medication or medications that the student needs to take, including the name, dosage, and frequency.
06
If applicable, provide any additional instructions for administering the medication, such as whether it needs to be taken with food or at a specific time of day.
07
Include any known allergies or adverse reactions that the student may have to medications.
08
If the student requires the assistance of a healthcare professional to administer the medication, make sure to provide their contact information.
09
Sign and date the form, indicating your agreement and understanding of the information provided.

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The student-medication-form-revised-082514doc - lcti is typically needed by schools, educational institutions, or healthcare professionals who are responsible for administering medications to students. This form ensures that the necessary information is collected, enabling them to provide safe and appropriate care to students with medical needs.
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The student-medication-form-revised-082514doc - lcti is a form used to document and request medication administration for students at LCTI.
Parents or guardians of students at LCTI are required to file the student-medication-form-revised-082514doc - lcti for their child.
The student-medication-form-revised-082514doc - lcti should be completed by providing all necessary information about the student, medication details, and authorization signature.
The purpose of the student-medication-form-revised-082514doc - lcti is to ensure proper documentation and authorization for the administration of medication to students at LCTI.
The student-medication-form-revised-082514doc - lcti must include student's name, medication details, dosage information, administration instructions, and parent/guardian signature.
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