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STUDENT MEDICATION AUTHORIZATION FORM 8 ARCHDIOCESE OF WASHINGTON Catholic Schools NOTE: THIS RELEASE AND INDEMNIFICATION AGREEMENT IS NOT AN AUTHORIZATION FOR AN EPI PEN OR INHALER PART I: TO BE
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How to fill out student medication authorization form

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How to fill out a student medication authorization form:

01
Begin by gathering all the necessary information. This typically includes the name of the student, their date of birth, school, grade, and contact information.
02
Next, review the medical information section and provide all relevant details about the student's medical condition. This may include any known allergies, chronic illnesses, or specific medications the student requires.
03
Ensure you understand the school's policies regarding medication administration. Note any specific guidelines or restrictions that need to be followed.
04
Indicate on the form whether the student is allowed to self-administer medication or if a designated school staff member should assist. If self-administration is allowed, specify the dosage, frequency, and method of administration.
05
If the student requires medication during specific times, such as before or after meals, make sure to mention this on the form.
06
Obtain the necessary signatures. Parents or guardians typically need to sign to give consent for the administration of medication. In some cases, a healthcare provider's signature may be required as well.
07
Double-check all the information provided and ensure all fields are filled out accurately. Any mistakes or omissions could lead to delays or complications in providing necessary medication to the student.

Who needs a student medication authorization form?

01
Students who require regular medication administration during school hours need a medication authorization form. This includes students with chronic illnesses, allergies, or those who rely on medication for specific health conditions.
02
Students who need emergency medication, such as epinephrine auto-injectors or asthma inhalers, should also have a medication authorization form on file.
03
It is essential for parents or guardians to provide accurate and up-to-date medical information, ensuring the school can appropriately support the student's health needs.
04
School staff responsible for the administration or supervision of medication should also be aware of the student medication authorization form to ensure compliance and proper care.
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The student medication authorization form is a document that allows schools or healthcare providers to administer medication to students during school hours.
Parents or legal guardians of students who require medication during school hours are required to file the student medication authorization form.
To fill out the student medication authorization form, parents or legal guardians need to provide the student's information, details of the medication, dosage instructions, and any other relevant information.
The purpose of the student medication authorization form is to ensure that students receive the necessary medication in a safe and appropriate manner while at school.
The student medication authorization form must include the student's name, date of birth, medication name, dosage instructions, administration times, emergency contact information, and any potential side effects or allergies.
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