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CHILDREN/AID STUDENT HEALTH SERVICES Parent/Guardian Authorization of Medication at School (Complete one form for each medication) Student Name: Birth Date: School Name: Teacher: Grade: Only those
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How to fill out parent/guardian authorization of medication:

01
Start by carefully reading the form and familiarizing yourself with its sections and requirements.
02
Begin by providing your personal information, including your full name, address, phone number, and email address.
03
Include the name and contact information of the child for whom the authorization is being granted.
04
Indicate the name and address of the healthcare provider or facility responsible for administering the medication.
05
Specify the medication being authorized, including the name, dosage, and administration instructions.
06
If there are any specific instructions or restrictions for administering the medication, make sure to include them as well.
07
Sign and date the form, indicating your consent and agreement to authorize the medication administration.
08
If required, provide any additional information or documentation requested by the form.

Who needs parent/guardian authorization of medication?

01
Any parent or legal guardian who wishes to authorize the administration of medication to their child typically needs to fill out this form.
02
This can include situations where medication needs to be administered at school, daycare, camps, or any other environment where the child may be under the care of someone other than the parent or guardian.
03
It is important to ensure that the authorized individuals are aware of the child's medical condition, any allergies, and the appropriate administration instructions to ensure the child's well-being and safety.
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Parent/guardian authorization of medication is a form that gives permission for someone to administer medication to a minor.
A parent or legal guardian of a minor is required to file parent/guardian authorization of medication.
Parent/guardian authorization of medication can be filled out by providing the necessary information about the minor, the medication, and the person authorized to administer it.
The purpose of parent/guardian authorization of medication is to ensure that a minor receives the necessary medication in a safe and authorized manner.
The parent/guardian authorization of medication must include the minor's information, details about the medication, dosage instructions, and the authorized person's details.
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