Get the free School Medication Authorization Waiver Form - lb65
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School Medication Authorization & Waiver Form Lake Bluff Elementary School Phone: 8472349405 Fax: 8472344819 Lake Bluff Middle School Phone: 8472349407 Fax: 8476159144 INSTRUCTIONS: Both sides of
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How to fill out school medication authorization waiver
How to fill out a school medication authorization waiver:
01
Obtain the school medication authorization waiver form from your child's school office or website.
02
Provide your child's personal information including full name, date of birth, and grade level.
03
Fill in your contact information, including your name, phone number, and address.
04
Indicate the medication your child requires by providing the name, dosage, and frequency.
05
Specify the condition or illness for which the medication is needed.
06
Provide details about any potential side effects or considerations associated with the medication.
07
Include the name and contact information of your child's healthcare provider.
08
If necessary, attach any supporting documentation such as a doctor's note or prescription.
09
Sign and date the school medication authorization waiver form.
10
Return the completed form to the school office or follow the submission instructions provided.
Who needs a school medication authorization waiver:
01
Any student who requires medication to be administered during school hours.
02
Students with chronic illnesses such as asthma, diabetes, or allergies that may require immediate medical attention.
03
Students who are prescribed medications for ongoing conditions or temporary illnesses, such as antibiotics or pain medication.
04
Students who need to carry emergency medication, such as an epinephrine auto-injector for severe allergies.
05
It is important to check with your child's school to understand their specific policies and requirements regarding medication administration on campus.
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