
Get the free CCSC Health Office Medication Administration Plan form
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617 3540047 P 617 3543624 F info Cambridge.org E 245 Bent Street Cambridge, MA 02141 www.ccscambridge.org SCHOOLED MEDICATION ADMINISTRATION PLAN (TO BE COMPLETED BY PHYSICIAN) DATE of PLAN: Name
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How to fill out ccsc health office medication

How to fill out ccsc health office medication:
01
Obtain the ccsc health office medication form from the health office or download it from the school's website.
02
Fill in the student's personal information, including their name, date of birth, grade level, and contact information.
03
Provide the details of the medication, such as the name, dosage, and frequency of administration. If the medication requires special instructions, make sure to include them as well.
04
Indicate any allergies or medical conditions that the student has, which may be relevant for administering the medication safely.
05
If the medication needs to be administered during school hours, specify the administration times and whether the student can self-administer or requires assistance from the health office staff.
06
Sign and date the form, indicating your consent for the school's health office to administer the medication to your child as specified.
07
Return the completed form to the health office, ensuring that it is submitted before the medication is required.
Who needs ccsc health office medication:
01
Students who have been prescribed medication by their healthcare provider and require it during school hours.
02
Students with chronic medical conditions that require regular medication administration, such as asthma, diabetes, or severe allergies.
03
Students who may experience sudden health issues or emergencies while at school, for which certain medication needs to be readily available.
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What is ccsc health office medication?
CCSC Health Office Medication is medication provided by the health office of the school or organization run by CCSC.
Who is required to file ccsc health office medication?
Parents or guardians of students who require medication during school hours are required to file CCSC Health Office Medication.
How to fill out ccsc health office medication?
To fill out CCSC Health Office Medication, parents or guardians must complete the necessary forms and provide detailed information about the student's medication needs.
What is the purpose of ccsc health office medication?
The purpose of CCSC Health Office Medication is to ensure that students receive the necessary medication and medical attention while at school.
What information must be reported on ccsc health office medication?
Information such as the student's name, dosage and frequency of medication, any known allergies, and emergency contact information must be reported on CCSC Health Office Medication forms.
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