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Alabama State Department of Education Revised 09/11/07 SCHOOL MEDICATION PRESCRIBER/PARENT AUTHORIZATION STUDENT INFORMATION Student s Name Date of Birth School Grade Teacher School Year List any

How to fill out school medication prescriberparent authorization

How to fill out school medication prescriber/parent authorization:

1. Start by obtaining the correct form from the school or healthcare provider. It may be available online or you can request a physical copy.
2. Fill in the student's personal information, including their name, date of birth, and grade level.
3. Provide the contact details for both the prescriber and the parent/guardian. This should include their names, phone numbers, and email addresses.
4. Indicate the purpose of the medication authorization. Specify the medical condition for which the medication is being prescribed and the specific medication(s) involved.
5. Include clear instructions for how the medication should be administered, including dosage, frequency, and any special instructions or precautions.
6. Describe any potential side effects or adverse reactions to look out for and what actions should be taken if they occur.
7. Indicate the start date and duration of the authorization, noting any necessary changes or adjustments.
8. Provide any additional information or special considerations that need to be taken into account, such as allergies or other medical conditions.
9. Sign and date the form, indicating your agreement to the terms and conditions outlined.
10. Make a copy for your records and submit the completed form to the appropriate school personnel.

Who needs school medication prescriber/parent authorization:

1. Students who require medication to be administered during school hours.
2. Parents or guardians of students who need medication administered at school.
3. Prescribers, such as doctors or nurse practitioners, who prescribe medication for students to be taken during school hours.

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What is school medication prescriberparent authorization?

School medication prescriber parent authorization is a form that allows a student to receive medication at school prescribed by a healthcare provider and authorized by a parent or guardian.

Who is required to file school medication prescriberparent authorization?

Parents or guardians of students who require medication during school hours are required to file the school medication prescriber parent authorization.

How to fill out school medication prescriberparent authorization?

Parents or guardians need to provide detailed information about the student, medication, dosage, timing, and any special instructions on the school medication prescriber parent authorization form.

What is the purpose of school medication prescriberparent authorization?

The purpose of school medication prescriber parent authorization is to ensure that students receive prescribed medication safely while at school under the supervision of trained staff.

What information must be reported on school medication prescriberparent authorization?

The school medication prescriber parent authorization form must include the student's name, prescribed medication details, dosages, timings, administration instructions, emergency contact information, and healthcare provider's signature.