Get the free EXTRACURRICULAR/CO-CURRICULAR TRIP MEDICATION AND HEALTH AUTHORIZATION FORM

This form is used to authorize the administration of medication to students during extracurricular or co-curricular trips, including medical history and consent for medical treatment.

How to fill out extracurricularco-curricular trip medication and

How to fill out EXTRACURRICULAR/CO-CURRICULAR TRIP MEDICATION AND HEALTH AUTHORIZATION FORM

1. Obtain the EXTRACURRICULAR/CO-CURRICULAR TRIP MEDICATION AND HEALTH AUTHORIZATION FORM from the school or organization.
2. Fill in the student's personal information, including name, date of birth, and contact information.
3. Provide emergency contact details for parents or guardians.
4. List any existing medical conditions the student has that should be noted.
5. Record all medications the student is currently taking, including dosage and administration times.
6. Indicate any allergies the student may have, including specific triggers.
7. Sign and date the form to authorize the administration of medication during the trip.
8. Submit the completed form to the designated school official or trip coordinator before the deadline.

Who needs EXTRACURRICULAR/CO-CURRICULAR TRIP MEDICATION AND HEALTH AUTHORIZATION FORM?

1. Any student participating in an extracurricular or co-curricular trip who requires medication or has health concerns.

For pdfFiller’s FAQs

What is EXTRACURRICULAR/CO-CURRICULAR TRIP MEDICATION AND HEALTH AUTHORIZATION FORM?

The EXTRACURRICULAR/CO-CURRICULAR TRIP MEDICATION AND HEALTH AUTHORIZATION FORM is a document that allows parents or guardians to authorize the administration of medication and provide health information for students participating in extracurricular or co-curricular trips.

Who is required to file EXTRACURRICULAR/CO-CURRICULAR TRIP MEDICATION AND HEALTH AUTHORIZATION FORM?

Students who require medication during extracurricular or co-curricular trips, or who have specific health conditions that need to be communicated to trip supervisors, are required to file the form.

How to fill out EXTRACURRICULAR/CO-CURRICULAR TRIP MEDICATION AND HEALTH AUTHORIZATION FORM?

To fill out the form, parents or guardians need to provide detailed information about the child's medical conditions, medications, dosages, and emergency contacts, as well as signature and date for authorization.

What is the purpose of EXTRACURRICULAR/CO-CURRICULAR TRIP MEDICATION AND HEALTH AUTHORIZATION FORM?

The purpose of the form is to ensure that students receive necessary medications and that their health needs are adequately addressed during extracurricular or co-curricular activities, thereby promoting safety and well-being.

What information must be reported on EXTRACURRICULAR/CO-CURRICULAR TRIP MEDICATION AND HEALTH AUTHORIZATION FORM?

The form must include the student's name, relevant medical history, details of any medications administered (including dosage and administration times), the parent or guardian's contact information, and consent for the school staff to administer the medication.