Get the free JLCD-E-1 Student Medication Request and Release Agr 3-27-14 - dcsdk12

Superintendent File: JLCDE1 STUDENT MEDICATION REQUEST AND RELEASE AGREEMENT To Be Completed By Parent The undersigned parent(s) or guardian(s) of hereby request personnel employed by the Douglas

How to fill out jlcd-e-1 student medication request

How to fill out jlcd-e-1 student medication request:

1. Obtain a copy of the jlcd-e-1 student medication request form from the appropriate school authority.
2. Fill out the student's personal information, such as their name, date of birth, address, and contact details.
3. Provide details about the student's medical condition requiring medication and any specific instructions or dosage requirements.
4. Indicate the name of the medication, dosage, and frequency of administration. If there are any allergies or side effects to be aware of, make sure to mention them.
5. If medication needs to be administered during school hours, specify the time and place where it should be given.
6. It is crucial to provide emergency contact information in case any issues arise while administering the medication.
7. Date and sign the form, acknowledging that all information is accurate and complete.
8. Submit the completed jlcd-e-1 student medication request form to the designated school authority, typically the school nurse or health services department.

Who needs jlcd-e-1 student medication request:

1. Students who require medication to be administered at school, either on a regular basis or as needed, need to submit the jlcd-e-1 student medication request form.
2. This form allows school authorities to have important medical information about the student and ensures proper administration of medication.
3. Parents or guardians should initiate the completion of this form for their child if they require medication during school hours, in compliance with school policies and procedures.

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What is jlcd-e-1 student medication request?

It is a form used to request medication administration for students in a school setting.

Who is required to file jlcd-e-1 student medication request?

Parents or guardians of the student are required to file the request.

How to fill out jlcd-e-1 student medication request?

The form must be filled out with the student's information, medication details, dosage, schedule, and physician's instructions.

What is the purpose of jlcd-e-1 student medication request?

The purpose is to ensure that students receive necessary medication in a safe and appropriate manner during school hours.

What information must be reported on jlcd-e-1 student medication request?

The form requires information such as student's name, medication name, dosage, administration schedule, side effects, and physician's contact information.