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AUTHORIZATION FOR ADMINISTRATION OF MEDICATION IN VANCOUVER SCHOOL DISTRICT (Excludes ointments, eye, nose or ear drops, suppositories and medication inhaled through the nose) Student s Name: DOB:
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How to fill out authorization for administration of:

01
Begin by providing your personal information, such as your name, address, and contact details.
02
Include the name of the person you are authorizing to administer or make decisions on your behalf.
03
Clearly state the scope of the authorization, specifying the areas in which the authorized person can act. For example, you may authorize them to make medical decisions, handle financial matters, or manage your property.
04
Consider including any limitations or conditions to the authorization, if applicable. This could be related to specific tasks, timeframes, or circumstances.
05
Date and sign the authorization form. If required, have it witnessed or notarized for legal validity.

Who needs authorization for administration of:

01
Individuals who are unable to make decisions or manage their own affairs due to physical or mental incapacitation often require authorization for administration. This can include elderly individuals, individuals with disabilities, or those suffering from temporary illnesses.
02
Family members or close friends who are responsible for the care and well-being of the person in question may also need authorization for administration to legally act on their behalf.
03
Professionals, such as healthcare providers or financial agents, may require authorization for administration when providing services or managing affairs for their clients or patients. This ensures they have the legal right to make decisions or take actions in their client's best interest.
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