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STUDENT MEDICATION REQUEST FORM 2016 This form must be completed for medication to be administered to your child during school hours. It has been designed to ensure the safety of your child and to

How to fill out student medication request form

How to fill out a student medication request form:

1. Start by entering the student's personal information, such as their full name, date of birth, and student ID number. Make sure to provide accurate and up-to-date information.
2. Next, indicate the specific medication that the student requires. Include the name of the medication, dosage, frequency, and any specific instructions or special considerations. If there are multiple medications, clearly list each one separately.
3. Provide details about the medical condition or reason for medication. This should include relevant medical history, diagnosis, allergies, or any other important information that healthcare providers should be aware of.
4. If necessary, indicate the duration for which the medication is needed. This could be a specific start and end date, or it could be an ongoing prescription.
5. Include contact information for the student's primary healthcare provider, such as their name, clinic or hospital, phone number, and email address. It is important to have this information in case further clarification or coordination is required.
6. If there are any additional documents that need to be attached to the form, such as a doctor's prescription or medical authorization, make sure to include them in the proper sections or indicate where they can be submitted separately.
7. Review the completed form for accuracy and completeness before submitting it. Double-check all the information provided and make any necessary corrections or additions.
8. Sign and date the form to indicate your consent and agreement with the information provided.
9. Keep a copy of the completed form for your records or any future reference.

Who needs a student medication request form?

1. Students with chronic medical conditions or illnesses that require ongoing medication during school hours.
2. Students who have been prescribed medication that must be administered during the school day.
3. Students with allergies or specific medical needs that may require immediate attention or administration of medication while at school.
4. Students participating in field trips, sports events, or extracurricular activities where they may require medication administration or medical assistance.
5. Students transitioning from a hospital or home care setting to school, where there is a need for coordination of their medical needs and medication administration.

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What is student medication request form?

The student medication request form is a document used to request medication administration for a student in a school or educational setting.

Who is required to file student medication request form?

The student's parent or legal guardian is required to file the student medication request form.

How to fill out student medication request form?

The student medication request form can be filled out by providing the student's information, medication details, dosage instructions, and any additional notes or instructions.

What is the purpose of student medication request form?

The purpose of the student medication request form is to ensure proper administration of medication to students while in a school or educational setting.

What information must be reported on student medication request form?

The student medication request form must include the student's name, date of birth, medication name, dosage, frequency, and any special instructions.

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