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Durham Unified School District TBA, School Nurse P.O. Box 700 Durham, CA 95938 530 8954697 ext. 224 / Fax (530 8954665 (Health Office DES) AUTHORIZATION FOR MEDICATION TO BE GIVEN AT SCHOOL Pupil
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How to fill out medication form updated 08-2015doc:

01
Start by carefully reading the instructions provided on the medication form. This will help you understand the information you need to provide and any specific requirements.
02
Begin filling out the form by entering your personal information, including your name, date of birth, and contact details. Make sure to write legibly and accurately to avoid any confusion.
03
Next, provide details about the medication you are currently taking or have been prescribed. This includes the name of the medication, dosage, frequency, and any special instructions or precautions.
04
If you have any allergies or adverse reactions to certain medications, make sure to indicate them clearly on the form. This is important for the safety of your healthcare providers and to ensure appropriate medication management.
05
In some cases, you may need to provide information about your medical history or any existing medical conditions that might affect your medication use. Fill out this section carefully, including details about previous diagnoses, surgeries, or ongoing treatment.
06
If you are taking multiple medications, it is essential to provide a comprehensive list of all the medications you are currently using. Include both prescription and over-the-counter medications, vitamins, supplements, and herbal remedies.
07
Finally, review the form to ensure all the information you have provided is accurate and complete. Double-check spellings, dosages, and any other details before signing and dating the form.

Who needs medication form updated 08-2015doc:

01
Individuals who are currently taking medication or have been prescribed medication by a healthcare professional.
02
Patients who are undergoing medical treatment and require effective communication of their medication information to healthcare providers.
03
Healthcare facilities, such as hospitals, clinics, and pharmacies, that need a standardized form to collect and document medication-related information.
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