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Get the free Student Medication Authorization Form 8 - Little Flower School

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Student Medication Authorization Form 8 ARCHDIOCESE OF WASHINGTON Catholic Schools NOTE: This is a release and indemnification agreement authorizing the administration of medication. It is NOT an
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How to fill out student medication authorization form

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How to fill out student medication authorization form

01
- Obtain a copy of the student medication authorization form from the school or educational institution.
02
- Read the instructions and requirements mentioned on the form.
03
- Fill out the student's personal information accurately, including their full name, date of birth, and contact details.
04
- Provide the name of the school and the grade/level the student is currently enrolled in.
05
- Specify the medication details, such as the name of the medication, dosage, frequency, and any special instructions.
06
- If the medication needs to be administered during school hours, indicate the time(s) it should be given.
07
- Provide information about any potential side effects or allergies the student may have.
08
- If the student requires assistance or supervision while taking the medication, specify the necessary details.
09
- Include emergency contact information in case of any unforeseen circumstances.
10
- Make sure to sign and date the form, acknowledging that the information provided is accurate and complete.
11
- Submit the completed form to the designated authority at the school or educational institution.

Who needs student medication authorization form?

01
- Students who require medication to be administered during school hours.
02
- Students with chronic illnesses or medical conditions that require regular medication.
03
- Students with allergies that may require emergency medication.
04
- Students who are participating in activities or field trips where medication may be necessary.
05
- Students who are unable to self-administer medication and require supervision or assistance.
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The student medication authorization form is a document that allows school personnel to administer medication to students during school hours.
Parents or guardians of students who require medication to be administered during school hours are required to file the student medication authorization form.
The student medication authorization form can be filled out by providing information about the student, medication details, dosage instructions, and emergency contact information.
The purpose of the student medication authorization form is to ensure that students receive the necessary medication safely and accurately while at school.
Information such as student's name, medication name, dosage, administration instructions, and emergency contact details must be reported on the student medication authorization form.
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