Get the free School Medication Authorization Form Medications - duquoinschools

Quoin Comm. Unit School District #300 845 East Jackson Street Quoin, Illinois 62832 Phone: (618) 5422646 X1060 Fax: (618) 5424910 School Medication Authorization Form (Medications dispensed by the

How to fill out school medication authorization form

How to fill out a school medication authorization form:

1. Read the instructions: Start by carefully reading the instructions provided on the form. Make sure you understand the requirements and any specific information that needs to be filled out.
2. Parent/guardian information: Begin by filling out your personal details as the parent or guardian. This may include your name, address, phone number, and email address.
3. Student information: Provide the necessary information about the student who requires medication. This typically includes their full name, date of birth, grade level, and any relevant medical conditions or allergies.
4. Medication details: Specify the medication that needs to be administered at school. Include the medication name, dosage, frequency, and any special instructions or precautions. If multiple medications are required, ensure each one is listed separately.
5. Authorization signature: Sign and date the form to indicate your consent for the school to administer the medication to your child. If applicable, ensure both parents/guardians have signed the form.
6. Healthcare provider information: If the medication requires a prescription, provide the healthcare provider's name, contact information, and any additional instructions they may have given regarding the medication.

Who needs a school medication authorization form:

1. Students requiring medication at school: Any student who needs to take medication during school hours will typically need a medication authorization form. This includes both prescription and over-the-counter medications.
2. Parents/guardians: The authorization form is primarily for parents or legal guardians to grant permission for their child's medication to be administered at school. They are responsible for completing and signing the form.
3. School staff: The school staff, including nurses, teachers, and administrators, who will be handling the medication administration also need the authorization form. It serves as a legal document ensuring they have consent to administer the medication safely.

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