
Get the free School Medication authorization ForM - Lake Forest Pediatrics
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917 Sherwood Drive, First Floor, Lake Bluff, IL 600442203 2592 Grand Avenue, Lindenhurst, IL 600465915 870 West End Court, Suite 100, Vernon Hills, IL 600611377 8472951220 Fax 8472951255 lakeforestpediatrics.com
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How to fill out school medication authorization form

How to fill out a school medication authorization form:
01
Begin by carefully reading the instructions provided on the form. Make sure you understand the purpose of the form and the information required.
02
Fill out your personal information, including your name, contact information, and the student's name if you are filling out the form on their behalf.
03
Provide the necessary details about the medication, such as the name, dosage, frequency, and any special instructions. If there are multiple medications, be sure to include all of them.
04
Specify the reason for administering the medication at school, whether it is for a chronic condition, temporary illness, or as needed.
05
If there are any potential side effects or allergies related to the medication, clearly state them on the form. It is vital to inform the school staff about any potential risks.
06
Indicate the duration of the medication authorization, including any start and end dates. For long-term medications, ensure that the form is updated annually or as required by the school.
07
Provide any additional information that may be necessary for the school staff to administer the medication safely. This can include storage requirements, administration instructions, or documents from the healthcare provider.
08
If required, have the healthcare provider or physician sign and stamp the form to affirm their approval and ensure accuracy.
Who needs a school medication authorization form:
01
Students who require medication during school hours, such as those with chronic health conditions like diabetes, asthma, allergies, or seizure disorders.
02
Students with temporary illnesses or injuries that require prescribed medication during school hours.
03
Students who may need emergency medication, such as Epinephrine auto-injectors for severe allergies.
04
Students with mental health conditions that require medication during school hours, as approved by the healthcare provider.
It is essential to consult with the school administration and healthcare provider to determine if a school medication authorization form is required and to understand any specific guidelines or procedures in place.
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What is school medication authorization form?
The school medication authorization form is a document that allows students to receive and take necessary medication during school hours.
Who is required to file school medication authorization form?
Parents or guardians of students who require medication during school hours are required to file the school medication authorization form.
How to fill out school medication authorization form?
The school medication authorization form can be filled out by providing necessary information about the student, medication details, dosage instructions, and emergency contact information.
What is the purpose of school medication authorization form?
The purpose of the school medication authorization form is to ensure that students can safely receive and take their required medication during school hours, with the knowledge and consent of their parents or guardians.
What information must be reported on school medication authorization form?
The school medication authorization form must include student's name, medication name, dosage instructions, time of administration, possible side effects, emergency contact information, and parent/guardian signature.
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