Get the free epipen4schools certification form

Visit www. fda.gov/medwatch or call 1-800-FDA-1088. For additional information please contact us at 800-395-3376. CERTIFICATION FORM EpiPen4Schools Replenishment Offer Mylan Specialty will replenish your school s supply of epinephrine injection or Jr epinephrine injection Auto-Injectors prior to your annual eligibility date and at no additional cost provided that your school used the First please complete all of the fields below. School Name/District Name School Address City/State/Zip School...

How to fill out epipen4schools certification form

How to fill out epipen4schools certification form:

1. Start by accessing the epipen4schools certification form online.
2. Fill in your personal information such as your name, address, and contact details.
3. Provide information about your school or organization, including its name and location.
4. Indicate whether you are a healthcare professional or a non-medical staff member.
5. Specify the number of epinephrine auto-injectors (Epipens) you have on-site.
6. Select the appropriate training option for your staff: either using the online training module or attending an in-person training session.
7. If you choose the online training option, provide the number of staff members who will complete the training.
8. If opting for in-person training, indicate the preferred date, time, and location for the session.
9. Confirm your agreement to the terms and conditions of the epipen4schools program.
10. Submit the completed form and await further instructions or confirmation from epipen4schools regarding your certification.

Who needs epipen4schools certification form:

1. Teachers, school staff, and volunteers who may need to administer epinephrine (Epipen) in case of an allergic emergency.
2. Healthcare professionals working in schools or organizations that require certification in managing anaphylaxis.
3. Individuals responsible for ensuring the safety and well-being of students or personnel with known severe allergies within a school or organization.

Note: The epipen4schools certification form is specifically designed for school settings; however, similar certification processes may exist for other institutions or organizations.

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What is epipen4schools certification form?

The epipen4schools certification form is a document that schools must complete to certify their participation in the epinephrine auto-injector program, allowing them to stock epinephrine auto-injectors for emergency use.

Who is required to file epipen4schools certification form?

Schools that wish to stock epinephrine auto-injectors for emergency situations are required to file the epipen4schools certification form.

How to fill out epipen4schools certification form?

To fill out the epipen4schools certification form, schools need to provide information about their organization, designate a responsible Administrator, and comply with local state regulations regarding the use of epinephrine auto-injectors.

What is the purpose of epipen4schools certification form?

The purpose of the epipen4schools certification form is to ensure that schools are properly authorized and equipped to administer epinephrine in case of severe allergic reactions among students.

What information must be reported on epipen4schools certification form?

The epipen4schools certification form must report details such as the school's name, address, contact information, the designated Administrators responsible for the epinephrine program, and confirmation of compliance with state laws.