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MED3 rev 2010 THE SCHOOL DISTRICT OF GREENVILLE COUNTY AUTHORIZATION FOR NONPRESCRIPTION MEDICATION AT SCHOOL (MUST BE SIGNED BY PARENT) PLEASE PRINT SCHOOL YEAR: STUDENTS NAME: BIRTH DATE: LEGAL

How to fill out authorization for non-prescription medication

How to fill out authorization for non-prescription medication:

1. Obtain the authorization form: Contact your healthcare provider or pharmacy to request the authorization form for non-prescription medication.
2. Provide personal information: Fill out your name, date of birth, address, and contact information in the designated sections of the form.
3. Specify the medication: Clearly state the name and dosage of the non-prescription medication for which you are seeking authorization.
4. Indicate the purpose: Explain the reason why you need the medication and why it is necessary for your health or treatment.
5. Include supporting documentation: Attach any relevant medical documents or letters from healthcare professionals that may support your request for the medication.
6. Sign and date the form: Read through the authorization form carefully and sign and date it in the designated sections.
7. Submit the form: Return the completed and signed authorization form to your healthcare provider or pharmacy as instructed.

Who needs authorization for non-prescription medication?

1. Individuals with pre-existing medical conditions: If you have a pre-existing medical condition or are currently undergoing treatment, you may need authorization for certain non-prescription medications to ensure their compatibility with your healthcare regimen.
2. Minors: Parents or legal guardians of minors often need to provide authorization for non-prescription medications to ensure their safety and appropriate use.
3. Individuals with specific situations: Some non-prescription medications may have age restrictions or require additional precautions, such as during pregnancy or while breastfeeding. In such cases, authorization may be necessary to ensure the medication's suitability for your specific situation.

It is important to note that the need for authorization can vary depending on local regulations and healthcare policies. Always consult with your healthcare provider or pharmacist to determine if you need authorization for non-prescription medications in your specific situation.

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