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MANSFIELD CHRISTIAN SCHOOL Authorization for the Administration of Medication by School Personnel As required by Section 3313.713 Ohio Revised Code. Students Name Date of Birth School Phone Number
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How to fill out licensed prescriber section
How to fill out licensed prescriber section:
01
Begin by providing the name and contact information of the licensed prescriber. This includes their full name, professional title, practice name, address, phone number, and email.
02
Indicate the date the prescription was issued by the licensed prescriber.
03
Specify the type of license held by the prescriber, such as medical doctor, nurse practitioner, or dentist.
04
Clearly state the prescription details, including the medication name, dosage, and any special instructions or restrictions.
05
If applicable, provide the prescriber's National Provider Identifier (NPI) number for identification purposes.
06
Sign and date the licensed prescriber section to validate the prescription.
Who needs licensed prescriber section:
01
Any individual who is authorized to prescribe medications, such as medical doctors, nurse practitioners, dentists, or veterinarians, needs to complete the licensed prescriber section.
02
This section is essential for ensuring that prescriptions are issued by a qualified healthcare professional and to provide necessary contact information for follow-up or clarification if needed.
03
Patients can have confidence in the prescribed medication knowing that it has been authorized by a licensed prescriber who is accountable for their professional actions.
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What is licensed prescriber section?
The licensed prescriber section is a part of a form or document where information about the prescribing healthcare provider is recorded.
Who is required to file licensed prescriber section?
Healthcare facilities or individuals who are prescribing medications or treatments are required to fill out the licensed prescriber section.
How to fill out licensed prescriber section?
The licensed prescriber section is typically filled out by entering the name, license number, contact information, and any other required details of the prescribing healthcare provider.
What is the purpose of licensed prescriber section?
The purpose of the licensed prescriber section is to ensure that there is a record of the healthcare provider who is responsible for prescribing medications or treatments.
What information must be reported on licensed prescriber section?
Information such as name, license number, contact information, and other relevant details of the prescribing healthcare provider must be reported in the licensed prescriber section.
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