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IL United Township High School Parental/Guardian Medication Consent Form 2012-2025 free printable template

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Parental/Guardian Medication Consent Form Name of student: Date of birth: Grade: I, (parent or guardian) give permission for the school nurse or designated administrator to dispense over-the-counter
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How to fill out medication consent form for school

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How to fill out IL United Township High School Parental/Guardian Medication

01
Obtain the IL United Township High School Parental/Guardian Medication form from the school's website or the school nurse's office.
02
Fill in the student's full name, grade, and date of birth at the top of the form.
03
List the prescribed medication's name, dosage, and schedule as directed by the physician.
04
Include the physician's name and contact information, as well as the prescription number if applicable.
05
Provide emergency contact information for the parent or guardian.
06
Sign and date the form to acknowledge consent for the school staff to administer the medication.
07
Submit the completed form to the school nurse for review and approval.

Who needs IL United Township High School Parental/Guardian Medication?

01
Students who require medication during school hours due to chronic health conditions, allergies, or other medical needs.
02
Students who have been prescribed medication by a licensed healthcare professional that needs to be administered while at school.
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IL United Township High School Parental/Guardian Medication is a form used by parents or guardians to authorize the administration of medication to their child during school hours.
Parents or guardians of students who need to take medication during school hours are required to file the IL United Township High School Parental/Guardian Medication.
To fill out the IL United Township High School Parental/Guardian Medication, parents or guardians must complete the form with their child's information, specify the medication details, dosages, and any special instructions, and then sign the form.
The purpose of the IL United Township High School Parental/Guardian Medication is to ensure that students receive the necessary medication safely and responsibly during school hours as per the physician's instructions.
The information that must be reported includes the child's name, date of birth, the name and dosage of the medication, the administration schedule, the reason for the medication, any side effects, and parental/guardian consent.
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