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Get the free School Medication Authorization Form - Frankfort School District 157-C

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School Medication Authorization Form Page 1 of 2 *** WE REQUIRE ONE FORM FOR EACH MEDICATION KEPT AT SCHOOL *** Students Name: Birth Date: Address: Home Phone: Emergency Phone: School: Grade: Teacher:
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How to fill out school medication authorization form

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How to fill out a school medication authorization form:

01
Start by obtaining a copy of the school medication authorization form. This form is typically provided by the school or can be found on their website.
02
Read the form carefully to understand what information is required and any specific guidelines or instructions provided.
03
Begin by entering the student's personal information, such as their full name, date of birth, and student ID number.
04
Provide the contact information of the student's parent or guardian, including their full name, phone number, and email address.
05
Indicate the name and contact information of the physician who prescribed the medication. This includes their full name, phone number, and address.
06
Describe the medication being authorized in detail, including the name, dosage, and frequency of administration.
07
Specify the reasons for administering the medication at school. This could include chronic health conditions, allergies, or other medical needs.
08
Include any additional instructions or precautions for administering the medication. For example, if the medication needs to be refrigerated or if it requires administration with food.
09
Sign and date the form as the parent or guardian, indicating your consent for the school to administer the medication to your child.
10
Return the completed form to the designated school staff member or office, following any specific submission instructions provided.
11
Keep a copy of the filled out form for your records.

Who needs a school medication authorization form:

01
Students who require the administration of medication during school hours.
02
Parents or guardians who want the school to be able to administer medication to their child when necessary.
03
School staff who are responsible for administering medication and need authorization from parents or guardians to do so.
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The school medication authorization form is a document that allows a student to take medication at school with approval from a healthcare provider.
Parents or guardians of students requiring medication at school are required to file the school medication authorization form.
The form must be completed with information about the student, medication details, dosage instructions, healthcare provider's signature, and parent/guardian consent.
The purpose of the form is to ensure that all necessary information is documented and that school staff are aware of any medical needs of the student.
The form must include the student's name, date of birth, name of medication, dosage, administration instructions, healthcare provider's contact information, and parent/guardian signature.
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