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COMMUNITY UNIT SCHOOL DISTRICT 201 SCHOOL MEDICATION AUTHORIZATION FORM STUDENT IS NAME: BIRTH DATE: ADDRESS: TELEPHONE: SCHOOL: GRADE: EMERGENCY NUMBER: I hereby grant permission for the above named
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How to fill out school medication authorization form
How to fill out a school medication authorization form:
01
Start by carefully reading the instructions provided on the form. Make sure you understand the requirements and any guidelines mentioned.
02
Fill out your personal information accurately. This typically includes your full name, contact information, and the name of the student who requires medication.
03
Specify the medical condition or illness the student has, as well as any relevant details about their medication regimen.
04
Clearly indicate the name, dosage, and frequency of the medication that needs to be administered. If there are any specific instructions, such as whether the medication needs to be taken before or after meals, include those as well.
05
If the student requires any additional assistance or accommodations related to their medication, make sure to mention them in the appropriate section of the form.
06
Read the authorization section carefully and sign it to give your consent for the school staff to administer the medication to the student.
07
If applicable, consult with your healthcare provider or pharmacist to ensure accuracy when completing the form.
08
Make a copy of the completed form for your records before submitting it to the school.
Who needs school medication authorization form?
01
Parents or legal guardians of students who require medication to be administered during school hours need to fill out a school medication authorization form.
02
In some cases, the form may also be filled out by the students themselves (if of legal age) or by individuals designated as the student's caregiver or responsible party.
03
The form helps ensure that the school staff is aware of and properly informed about the student's medical needs, allowing them to administer medication safely and accurately.
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What is school medication authorization form?
The school medication authorization form is a document that allows students to take medication during school hours. It must be filled out by a parent or guardian and signed by a healthcare provider.
Who is required to file school medication authorization form?
Any student who needs to take medication during school hours is required to have a school medication authorization form on file.
How to fill out school medication authorization form?
To fill out a school medication authorization form, a parent or guardian must provide information about the student, the medication, dosage, and administration instructions. A healthcare provider must also sign the form.
What is the purpose of school medication authorization form?
The purpose of the school medication authorization form is to ensure that students can safely receive and take medication during school hours with proper authorization and supervision.
What information must be reported on school medication authorization form?
The school medication authorization form must include student's name, medication name, dosage, frequency, administration instructions, healthcare provider's signature, and emergency contact information.
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