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210. ATTACHMENT Medication Administration Consent And Licensed Prescriber Order East Allegheny School District Student Name: Date/Time: School: Teacher/Grade: In accordance with school policy, medication(s)
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Point by point instructions on how to fill out the school nurse form:

01
Start by obtaining the school nurse form from your school's administration office. Typically, these forms are available at the beginning of the academic year or upon enrollment.
02
Read through the instructions on the form carefully to ensure that you understand what information is required.
03
Begin filling out the basic personal information section of the form, including the student's full name, date of birth, grade level, and contact information. Make sure all the information is accurate and up to date.
04
Provide any relevant medical history, allergies, or chronic conditions that the school nurse should be aware of. This can include information about any medications the student takes regularly or any special medical considerations.
05
If necessary, indicate any specific treatments or accommodations that the student may require during school hours. This could include details about ongoing treatments, physical therapy, or assistive devices.
06
Include emergency contact information for the student. Provide the names, phone numbers, and relationships of at least two individuals who should be contacted in case of an emergency involving the student.
07
If there are any specific authorizations or permissions needed, such as administering medication or performing certain medical procedures, make sure to provide the necessary details on the form.
08
Leave any sections that are not applicable or do not apply to the student blank. It is important to focus only on providing accurate and relevant information.

Who needs the school nurse form:

01
Students with specific medical conditions or needs that require monitoring or assistance during school hours.
02
Parents or guardians of students who want to ensure that the school is aware of any existing medical conditions or allergies that the student may have.
03
Schools and teachers who need to be informed about the healthcare and safety needs of their students in order to provide appropriate support.
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The school nurse form is a document that contains information about the school nurse's qualifications, certifications, and contact information.
The school administrator or designated school personnel are required to file the school nurse form.
The school nurse form can be filled out by providing the necessary information such as name, contact details, certifications, and qualifications of the school nurse.
The purpose of the school nurse form is to ensure that schools have qualified and certified nurses on staff to provide medical care to students.
The school nurse form must include the nurse's name, contact information, certifications, qualifications, and any relevant medical training.
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