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AUTHORIZATION FOR SCHOOL MEDICATION ADMINISTRATION EPINEPHRINE AUTOINJECTOR School Year SCHOOL PHONE ADDRESS Child's Name Grade Allergies Physicians Request Name of prescribed medication Reason Dosage
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How to fill out authorization for school medication

How to fill out authorization for school medication:
01
Obtain the authorization form from your child's school or healthcare provider. It may be available online or you can request a copy from the school nurse.
02
Fill in the necessary personal information, such as your child's name, date of birth, and grade level.
03
Provide your contact information, including your phone number and address, so that the school can reach you if needed.
04
Clearly state the specific medication that your child needs to take while at school. Include the name of the medication, dosage, and any special instructions or accommodations.
05
Indicate the frequency and timing of the medication administration, whether it needs to be given daily, at specific hours, or as needed.
06
If there are any potential side effects or adverse reactions to the medication, make sure to mention them in the form. This will help the school staff to be aware and prepared.
07
If your child is capable of self-administering the medication, indicate that in the form. Otherwise, it should be specified who will be responsible for administering the medication, whether it is the school nurse or another designated staff member.
08
If there are any additional instructions or considerations, such as how to store the medication or if it requires refrigeration, include them in the form.
09
Once you have filled out all the necessary information, review the form carefully to ensure accuracy. Make sure you have signed and dated it before submitting it to the school.
10
Keep a copy of the completed authorization form for your records.
Who needs authorization for school medication?
01
Any student who needs to take medication during the school day requires authorization. This includes both prescription and over-the-counter medications.
02
The authorization form is typically required for students of all ages, from preschool to high school.
03
The need for authorization applies to both short-term and long-term medication use. Whether your child needs a single dose of medication or requires ongoing treatment, authorization is necessary for the school staff to administer it safely and legally.
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What is authorization for school medication?
Authorization for school medication is a form that allows a student to receive and take medication while at school. It is typically completed and signed by a parent or guardian, as well as a healthcare provider.
Who is required to file authorization for school medication?
A parent or guardian of the student, along with a healthcare provider, are typically required to file authorization for school medication.
How to fill out authorization for school medication?
Authorization for school medication is usually filled out by providing the student's information, medication details, dosage instructions, emergency contact information, and signatures from the parent/guardian and healthcare provider.
What is the purpose of authorization for school medication?
The purpose of authorization for school medication is to ensure that students can safely receive and take necessary medication while at school under the supervision of school staff.
What information must be reported on authorization for school medication?
Information that must be reported on authorization for school medication includes student's details, medication name, dosage instructions, administration times, emergency contact information, and signatures from the parent/guardian and healthcare provider.
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