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206 Greenfield Avenue, Ballston Spa, NY 12020 (518) 8850508 www.spachristian.com STUDENT MEDICATION FORM New York State law prohibits the school from administering prescription or nonprescription
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How to fill out student medication form
Who needs student medication form?
01
Students who require regular medication administration during school hours.
02
Students who have chronic health conditions or medical needs.
03
Students who need emergency medication available at school, such as an epinephrine auto-injector for severe allergies.
How to fill out student medication form:
01
Obtain a copy of the student medication form from the school's health office or website.
02
Provide the student's personal information, including name, date of birth, and contact details.
03
Fill in the student's medical history, including any known allergies, past illnesses, and current medical conditions.
04
Specify the details of the medication to be administered, including the medication name, dosage, frequency, and method of administration (e.g., oral, inhaler, injection).
05
Include any special instructions or considerations for administering the medication, such as whether it should be taken with food or at specific times.
06
If necessary, attach a written prescription or medical documentation from the student's healthcare provider.
07
Indicate whether the medication should be self-administered by the student or if it requires assistance from school staff.
08
Provide emergency contact information in case of any adverse reactions or emergencies related to the medication.
09
Sign and date the form as the parent or guardian, acknowledging that the information provided is accurate and complete.
10
Return the completed student medication form to the school's health office or designated staff member responsible for handling medication administration.
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What is student medication form?
Student medication form is a document used to report and authorize the administration of medication to students while at school or school-related activities.
Who is required to file student medication form?
Parents or legal guardians of the student are typically required to fill out and submit the student medication form.
How to fill out student medication form?
To fill out the student medication form, parents or legal guardians must provide the student's information, relevant medical details, and authorize the administration of medication.
What is the purpose of student medication form?
The purpose of the student medication form is to ensure that school staff are aware of any medical conditions or medications that a student may require while at school, and to provide authorization for the administration of medication if needed.
What information must be reported on student medication form?
The student medication form typically requires information such as the student's name, date of birth, medical conditions, medications, dosage instructions, and emergency contact information.
How can I send student medication form for eSignature?
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