Get the free IN-SCHOOL MEDICATION ADMINISTRATION REQUEST

SCHOOL MEDICATION ADMINISTRATION REQUEST To be completed by licensed prescriber: Student Name: Medication Name Date: Grade/Homeroom: #1 ×2 Dosage Time/Length of Administration Reason for Medication

How to fill out in-school medication administration request

How to fill out in-school medication administration request

1. To fill out an in-school medication administration request, follow these steps:
2. Obtain the in-school medication administration request form from the school's main office or the school nurse.
3. Fill out the student's personal information section on the form, including their name, date of birth, grade, and any relevant medical conditions.
4. Provide details about the medication that needs to be administered, such as the name of the medication, dosage instructions, and any special instructions or precautions.
5. Indicate the specific times and schedule for administering the medication during school hours.
6. If necessary, attach a written statement from the student's healthcare provider with instructions or any additional information.
7. Sign and date the form as the parent or guardian, acknowledging that you understand and authorize the administration of the medication.
8. Return the completed form to the school's main office or the school nurse.

Who needs in-school medication administration request?

1. Students who require medication to be administered during school hours by a school nurse or designated staff member need an in-school medication administration request. This can include students with chronic illnesses, conditions requiring regular medication, or students recovering from a recent illness or medical procedure that requires medication.

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What is in-school medication administration request?

In-school medication administration request is a form that allows students to receive medication during school hours.

Who is required to file in-school medication administration request?

Parents or legal guardians of students who require medication during school hours are required to file the in-school medication administration request.

How to fill out in-school medication administration request?

To fill out the in-school medication administration request, parents or legal guardians must provide details of the student, medication information, dosage, administration instructions, and contact information.

What is the purpose of in-school medication administration request?

The purpose of the in-school medication administration request is to ensure that students receive their required medication safely and effectively during school hours.

What information must be reported on in-school medication administration request?

The in-school medication administration request must include student's name, age, grade, medication name, dosage, administration schedule, possible side effects, and contact information for parent or legal guardian.