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W.E.B. DU BOYS CONSORTIUM OF CHARTER SCHOOLS AUTHORIZATION FOR MEDICATION DURING SCHOOL Please Complete All Information Student Name School Name Social Security # Academic Year Date of Birth Sex THE
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How to fill out authorization for student medication

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How to fill out authorization for student medication:

01
Obtain the authorization form: The school or healthcare provider will provide you with the specific form that needs to be filled out. Make sure to obtain a copy of this form.
02
Fill in the student's information: Begin by providing the necessary information about the student, such as their full name, date of birth, grade level, and any other relevant details.
03
Specify the medication details: Clearly mention the name of the medication that needs to be administered to the student. Include the dosage, frequency, and any special instructions given by the healthcare provider.
04
Provide emergency contact information: In case of any complications or emergencies related to the medication, it is crucial to provide reliable contact information. Include the names and phone numbers of the student's parents or guardians who can be reached in such situations.
05
Indicate the duration of authorization: Specify the timeframe for which the authorization is granted. This could range from a single school year to a specific period of time, depending on the student's needs.
06
Sign and date the form: As the person responsible for providing authorization, sign and date the form to authenticate your consent. Make sure to read through the form carefully before signing to ensure you understand all the terms and conditions.

Who needs authorization for student medication:

01
Parents or legal guardians: Primarily, parents or legal guardians of the student are typically required to provide authorization for student medication. They have the authority to make decisions regarding their child's healthcare.
02
Healthcare provider: Depending on the school's policy, the authorization may also need to be signed by a healthcare provider, such as a pediatrician or nurse practitioner. Their signature ensures that they have reviewed the medication and its appropriateness for the student's condition.
03
School officials: In some cases, school officials, such as the school nurse or principal, may also need to review and sign the authorization form. This provides an additional level of accountability and ensures that all parties involved are aware of the medication being administered.
Note: It is important to follow the specific guidelines and requirements set by the school and healthcare provider when it comes to authorization for student medication. Each institution may have its own procedures and forms that need to be followed.
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Authorization for student medication is a form that allows school staff to administer medication to students during school hours.
Parents or guardians of the student are required to file authorization for student medication with the school.
Authorization for student medication can be filled out by providing the student's information, medication details, dosage instructions, and parent/guardian signature.
The purpose of authorization for student medication is to ensure that students receive their necessary medication in a safe and timely manner while at school.
Information such as student's name, date of birth, medication name, dosage, administration instructions, parent/guardian contact information, and doctor's signature must be reported on authorization for student medication.
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