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STUDENT MEDICATION INFORMATION AND CONSENT FORM I have read and understand the medication policies as indicated on the reverse side. Please administer to my child, the prescription medication’s)
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How to fill out student medication form

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How to fill out student medication form:

01
Start by obtaining a student medication form from your school or healthcare provider. This form is typically available at the school's health office or can be downloaded from their website.
02
Fill in the personal information section of the form, including the student's name, date of birth, grade level, and contact information. It is important to provide accurate and up-to-date details to ensure the form is properly processed.
03
Next, provide information about the student's medical history. This may include any pre-existing conditions, allergies, or chronic illnesses that need to be taken into consideration when administering medication.
04
If the student requires regular medication during school hours, clearly indicate the name of the medication, dosage instructions, and any specific times it needs to be administered. If there are multiple medications, list them separately.
05
In situations where the student may need emergency medication, such as an epinephrine auto-injector (EpiPen) for severe allergies, indicate the medication and appropriate instructions for its use. It is crucial to provide detailed information to ensure the student's safety in emergency situations.
06
If additional documentation is required, such as a doctor's note or prescription, make sure to attach these supporting documents to the form.
07
Lastly, ensure the student and parent or guardian signs and dates the form to acknowledge the accuracy of the provided information and to give consent for the administration of medication as necessary.

Who needs student medication form:

01
Students with ongoing medical conditions or allergies that require regular medication administration during school hours.
02
Students who may require emergency medication, such as epinephrine auto-injectors, inhalers, or other life-saving medications.
03
Schools often require a student medication form as a safety measure to ensure that proper protocols are followed when administering medication and to keep records of students' medical needs.
Remember, it is essential to consult with your school's health office or healthcare provider for specific instructions and requirements related to filling out the student medication form.
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Student medication form is a document used to report any medication that a student needs to take during school hours.
The student's parent or guardian is required to file the student medication form.
To fill out the student medication form, the parent or guardian must provide information about the student, the medication, dosage, and instructions for administration.
The purpose of student medication form is to ensure that school staff are aware of any medications that students need to take during school hours and how to administer them.
The student medication form must include the student's name, date of birth, medication name, dosage, time to be administered, and any special instructions.
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