
Get the free Medication in School Form - St. Francis of Assisi
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The Catholic Diocese of Wichita
GUIDELINE 317T FOR THE ADMINISTRATION OF MEDICATION AT SCHOOL
This policy applies to all prescription and overthecounter drugs, natural and homeopathic remedies and
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How to fill out medication in school form

How to fill out medication in school form:
01
Start by carefully reading the instructions on the form. Make sure you understand what information is required and how it should be filled out.
02
Begin by providing your child's personal information, such as their full name, date of birth, and contact details.
03
Include the name, dosage, and frequency of the medication that your child needs to take while at school. If there are any specific instructions or precautions, make sure to mention them as well.
04
It is important to indicate the reason or medical condition for which the medication is prescribed. This helps the school staff understand the necessity of administering the medication.
05
If your child requires any special accommodations or assistance related to taking the medication, such as the need for a nurse or designated staff member, indicate this on the form.
06
Provide any additional information or notes that may be relevant, such as potential side effects, known allergies, or any other medical conditions your child may have.
07
Ensure that you sign and date the form, indicating your consent for the school to administer the medication to your child.
08
Keep a copy of the completed form for your records and provide the original to the appropriate school staff or administrator responsible for managing medication administration.
Who needs medication in school form?
01
Students who require regular medication during school hours, such as those with chronic medical conditions or disabilities that necessitate medication administration.
02
Students who may need medication in case of emergencies, such as an asthma inhaler or epinephrine auto-injector.
03
Students who have a short-term medical condition, injury, or illness that requires temporary medication administration while at school.
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What is medication in school form?
Medication in school form is a document that authorizes school personnel to administer medication to a student during school hours.
Who is required to file medication in school form?
Parents or guardians of the student are required to file medication in school form.
How to fill out medication in school form?
To fill out the medication in school form, parents or guardians should provide information about the student, the medication, dosage, administration instructions, and any possible side effects.
What is the purpose of medication in school form?
The purpose of medication in school form is to ensure that school personnel are aware of any medication needs and can safely administer medication to students when necessary.
What information must be reported on medication in school form?
Information such as student's name, medication name, dosage, administration instructions, possible side effects, parent/guardian contact information, and physician's contact information must be reported on medication in school form.
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