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School Medication Authorization Form Please return to the office by Sept. 1st. Can be updated as needed. To be completed by the children parent×guardian: Student Name: Birth Date: Address: Phone
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How to fill out school medication authorization form

How to fill out a school medication authorization form:
01
Start by obtaining a copy of the school medication authorization form from either the school administration or your child's healthcare provider.
02
Read the form thoroughly to understand the information and sections that need to be completed. Make sure to pay attention to any specific instructions or requirements.
03
Begin by filling out the personal details section of the form, including your child's full name, date of birth, grade level, and contact information. Provide accurate information to ensure proper identification.
04
Proceed to the medical information section, where you will be asked to provide details about your child's medical condition, including any diagnoses, allergies, or current medications. Include specific instructions or precautions if necessary.
05
If your child requires medication to be administered during school hours, specify the medication name, dosage, and frequency. Indicate whether the medication needs to be taken before, during, or after school. Include any special instructions, such as whether the medication should be stored at a certain temperature or if it requires mixing before administration.
06
If your child is capable of self-administering medication, indicate this on the form and provide any necessary information or requirements for the school to facilitate this process. If the medication needs to be kept with the school nurse, state this on the form as well.
07
Understand the school policies regarding medication administration. Some schools may require additional signatures or documentation from a healthcare provider, while others might need the form notarized. Follow the instructions provided and make sure to complete all necessary sections.
08
Once you have filled out all relevant information, review the form for accuracy and completeness. Double-check that all required fields have been filled and that your handwriting is legible.
09
Sign and date the form as required. If there are additional sections for the healthcare provider or school nurse to complete, make sure to leave those areas blank and follow the appropriate procedures for their involvement.
Who needs school medication authorization form:
01
Students who require medication to be administered during school hours.
02
Students with chronic or temporary medical conditions requiring medication or medical interventions.
03
Students who need to carry their own medication for self-administration during school hours.
04
Parents or guardians of students who want to ensure proper management and administration of their child's medication while at school.
05
Schools and school administrators who need accurate and up-to-date information about students' medical needs and requirements to provide a safe and supportive learning environment.
06
Healthcare providers who need to communicate specific medical details, instructions, and medication requirements to the school.
07
School nurses who play a vital role in tracking and administering medication to students in accordance with the school's policies and procedures.
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