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SCHOOL MEDICATION AUTHORIZATION FORM CARTOON COMMUNITY UNIT SCHOOL DISTRICT NO. 2 School Health Offices: Cartoon High School 2521 Walnut 238-7815 Fax: 238-7814 Vicky Wright BSN, RN, Licensed School

How to fill out school medication authorization form

How to fill out school medication authorization form:

1. Obtain the form from the school: Contact your child's school or the school nurse to request a copy of the school medication authorization form. They will provide you with the necessary document.
2. Review the form: Read through the form carefully to understand the information required. Make sure you have all the necessary details and medical information about your child's condition and medication.
3. Fill in personal and contact information: Begin by filling in your child's full name, date of birth, school grade, and contact information. Include your own name, relationship to the child, and contact details as well.
4. Provide medical information: Indicate the specific medication that needs to be administered to your child while at school. Include the name, dosage, frequency, and any additional instructions provided by the healthcare professional. If there are any possible side effects or special precautions, make sure to mention them.
5. Include healthcare provider's information: Provide the name, contact details, and signature of the healthcare provider prescribing the medication. This could be your child’s physician, nurse practitioner, or other qualified healthcare professional.
6. Write the parent or guardian's consent: Sign the form as the parent or guardian, giving your consent for the school to administer the medication to your child. This signature acknowledges that you understand the potential risks and benefits of the medication.
7. Attach any supporting documents: If required by the school, attach any additional documents, such as a copy of the prescription or a medical action plan, to support the medication authorization form.

Who needs school medication authorization form:

1. Students with chronic health conditions: Students who have chronic health conditions such as asthma, allergies, diabetes, or epilepsy may require medication to be administered during school hours. In such cases, a school medication authorization form is necessary.
2. Students requiring emergency medication: If a student requires emergency medication, such as an epinephrine autoinjector for severe allergic reactions, the school medication authorization form is essential. This ensures that school staff are aware of the student's condition and can administer the medication promptly if needed.
3. Students with short-term medical needs: In some cases, students may need to take medication for a short period of time due to an illness or injury. The school medication authorization form allows the school to provide appropriate care and administer medication in these situations.

Remember to check with your child's school for their specific policy on medication administration and ensure that you provide accurate and up-to-date information on the school medication authorization form. This will help ensure the safety and well-being of your child while at school.

For pdfFiller’s FAQs

What is school medication authorization form?

School medication authorization form is a document that allows students to receive medication at school as prescribed by their healthcare provider.

Who is required to file school medication authorization form?

Parents or guardians of students who require medication during school hours are required to file the school medication authorization form.

How to fill out school medication authorization form?

To fill out the school medication authorization form, parents or guardians must provide information about the student, the prescribed medication, dosage, administration instructions, and emergency contact information.

What is the purpose of school medication authorization form?

The purpose of the school medication authorization form is to ensure that students receive the necessary medication safely while at school.

What information must be reported on school medication authorization form?

The school medication authorization form must include information about the student, the medication name, dosage, frequency, route of administration, healthcare provider's information, and parent or guardian contact information.

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