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STUDENT MEDICATION AUTHORIZATION FORM **Any prescribed medication to be administered during school hours must be in the ORIGINAL LABELED CONTAINER AS DISPENSED BY THE PHARMACIST. **ALL nonprescription
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How to fill out 2014-2015 student medication authorization

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How to fill out 2014-2015 student medication authorization:

01
Gather all necessary information: Before filling out the authorization form, make sure you have all the relevant information at hand. This may include the student's full name, date of birth, school information, health insurance details, and any medical conditions or allergies they may have.
02
Read the instructions carefully: Take the time to thoroughly read through the instructions provided on the authorization form. This will help you understand the requirements and ensure that you provide accurate and complete information.
03
Provide student and parent/guardian information: Start by filling out the student's personal information, such as their name, date of birth, and contact details. Additionally, provide the parent or guardian's information, including their name, address, and contact number.
04
Document medical information: Indicate any medical conditions or allergies that the student has. It's important to be specific and include any relevant details, such as medication names, dosage instructions, and any precautions to be taken.
05
List authorized medication: Clearly list all the medications that are authorized for the student to take while at school. Include the name of the medication, dosage instructions, and any notes or special instructions for the school nurse or staff.
06
Provide emergency contact information: Make sure to include emergency contact information for the parent or guardian. This should include their name, relationship to the student, and contact number.
07
Review and sign the form: Before submitting the form, carefully review all the information you have provided to ensure its accuracy. Once you are satisfied, sign and date the form. If required, have the parent or guardian also sign the form.

Who needs 2014-2015 student medication authorization?

01
Students with medical conditions or allergies: Any student who has a medical condition or allergy that requires medication during school hours will need to have a medication authorization form on file. This form ensures that the school staff is aware of the student's medical needs and can administer the necessary medication or provide appropriate care if needed.
02
Parents or guardians: The student medication authorization form typically requires the signature of the parent or guardian. This indicates that they have provided consent for the administration of medication and acknowledges their responsibility to inform the school of any changes in the student's medical condition or medication.
03
School administrators and staff: The medication authorization form is essential for school administrators and staff to have accurate and up-to-date information regarding a student's medical needs. It helps them ensure the safety and well-being of the student while they are in school by allowing them to administer medication or provide necessary care as outlined in the authorization form.
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The student medication authorization form is a document that allows students to receive medication while at school.
Parents or guardians of students who require medication during school hours are required to file the student medication authorization form.
The form must be filled out with the student's information, the medication details, dosages, administration instructions, and any potential side effects.
The purpose of the student medication authorization form is to ensure that students receive the necessary medication safely and effectively while at school.
The form must include the student's name, date of birth, the medication name, dosage, frequency, administration instructions, and any potential side effects.
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