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School Medication Administration Form 2016/2017ONE (1) MEDICATION PER FORM REQUIRED FOR ALL (PRESCRIPTION & OVER THE COUNTER) MEDICATIONSStudent Name: Birth Date: Prescriber PortionMedication Name:
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School medication administration form is a document used to record the administration of medication to students while they are at school.
School nurses or designated school personnel are usually required to fill out and file the school medication administration form.
The form usually requires information such as the student's name, the name of the medication, dosage, time of administration, and any specific instructions from the prescribing physician.
The purpose of the form is to ensure that students receive their prescribed medication in a safe and timely manner while at school, and to keep a record of any medications administered.
Information such as student's name, medication name, dosage, time of administration, prescribing physician's instructions, and any potential side effects or allergies must be reported on the form.
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