Get the free Authorization for the Administration of Medicine by School Personnel - trumbullps
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This document outlines the procedures and requirements for administering medication to students in Trumbull Public Schools, including necessary authorizations from prescribers and parents.
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How to fill out authorization for form administration
How to fill out Authorization for the Administration of Medicine by School Personnel
01
Obtain the Authorization for the Administration of Medicine form from the school's administration office or website.
02
Fill out the student's personal information, including their full name, date of birth, and grade level.
03
Provide the details of the medication to be administered, including the name of the medication, dosage, frequency, and method of administration.
04
Include the duration for which the medication is to be administered, specifying start and end dates if applicable.
05
Obtain the signature of a licensed healthcare provider, such as a physician or nurse practitioner, to confirm the necessity of the medication.
06
Include the parent or guardian's contact information and signature to indicate consent for school personnel to administer the medication.
07
Submit the completed form to the school nurse or designated personnel for review and approval.
Who needs Authorization for the Administration of Medicine by School Personnel?
01
Students who require medication during school hours due to chronic health conditions, allergies, or other medical needs.
02
Parents or guardians of students who need to ensure their children receive necessary medications while at school.
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What is Authorization for the Administration of Medicine by School Personnel?
Authorization for the Administration of Medicine by School Personnel is a formal document that permits school staff to administer medication to students during school hours, ensuring that students with medical needs receive appropriate care.
Who is required to file Authorization for the Administration of Medicine by School Personnel?
Parents or guardians of students who require medication during school hours are required to file this authorization with the school.
How to fill out Authorization for the Administration of Medicine by School Personnel?
To fill out the authorization, parents or guardians need to provide information including the student's name, the medication name, dosage, frequency, and any specific instructions for administration, along with a physician's signature.
What is the purpose of Authorization for the Administration of Medicine by School Personnel?
The purpose is to ensure the safety and health of students by allowing trained school personnel to provide necessary medications as prescribed, thereby supporting the student's ability to participate in school activities.
What information must be reported on Authorization for the Administration of Medicine by School Personnel?
The information that must be reported includes the student's name, date of birth, medication name, dosage, administration schedule, potential side effects, and contact information for the parent or guardian and the prescribing physician.
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