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Diagnosis Name of medication Specific time s and dose s to be given at school Beginning date Ending date Side effects Restrictions Printed Name of Prescribing Physician Prescribing Physician s Phone Number OHS-14 09/2003 REV July 2012 Signature of Prescribing Physician Office Address Date. Only bring medication to school in the original prescription bottle properly labeled by a registered pharmacist as prescribed by law. DEPARTMENT OF STUDENT SUPPORT SERVICES OFFICE OF HEALTH SERVICES...

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How to fill out department of student support

01

Step 1: Gather all necessary documents and information related to the student support department.

02

Step 2: Start by filling out the student's personal details such as name, date of birth, address, and contact information.

03

Step 3: Proceed to fill out the academic information of the student, including their current grade level, school or college enrolled in, and any relevant academic history.

04

Step 4: Provide details about the specific type of support required by the student, whether it's related to academic counseling, mental health services, disability support, or any other assistance needed.

05

Step 5: Include any additional information or documents that might be relevant to the student support department's evaluation process, such as medical records, previous support plans, or letters of recommendation.

06

Step 6: Review the filled-out form for accuracy and completeness before submitting it to the department of student support.

Who needs department of student support?

01

Students who require extra support in their academic, personal, or emotional journey.

02

Students with disabilities who need specialized assistance and accommodations.

03

Students facing social, emotional, or mental health challenges that affect their well-being and academic performance.

04

Students experiencing difficulty in adapting to the learning environment.

05

Students seeking guidance in making educational and career decisions.

06

Students in need of financial aid or scholarships to support their education.

07

Students with exceptional talents or abilities who could benefit from specialized support and enrichment programs.

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What is department of student support?

The department of student support provides resources and assistance to students in need.

Who is required to file department of student support?

All educational institutions are required to file department of student support.

How to fill out department of student support?

Department of student support can be filled out online or submitted via mail with the required information.

What is the purpose of department of student support?

The purpose of department of student support is to ensure that students receive the necessary support to succeed academically.

What information must be reported on department of student support?

Information such as student demographics, academic performance, and support services provided must be reported on department of student support.

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