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5330 F1 Geneva Community Unit School District #304 SCHOOL MEDICATION AUTHORIZATION FORM Only one medication per form Student s Name: Birth date: School: Grade: I hereby confirm primary responsibility
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How to fill out medication form - geneva304org:

01
Visit the geneva304org website and locate the medication form.
02
Read the instructions provided with the form to understand the requirements and guidelines for filling it out.
03
Start by entering your personal information, such as your full name, date of birth, and contact details, in the designated fields.
04
Provide information about your current medical condition or ailment that requires medication. This may include the name of the medication, dosage instructions, and any specific notes or precautions.
05
If you have any known allergies or sensitivities to certain medications, make sure to indicate them on the form.
06
If applicable, indicate any other medications you are currently taking by listing their names, dosages, and frequency.
07
Review the form thoroughly to ensure all the information you have provided is accurate and complete.
08
Sign and date the form in the appropriate section to acknowledge your understanding and agreement.
09
If required, submit the filled-out medication form by the specified method mentioned on the geneva304org website (e.g., dropping it off at the designated location or mailing it to a specific address).

Who needs medication form - geneva304org?

01
Students attending schools within the Geneva School District 304.
02
Parents or guardians of students who require medication to be administered during school hours.
03
Patients who receive medical care or treatment at facilities affiliated with the geneva304org healthcare organization, as instructed by their healthcare providers.
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Medication form - geneva304org is a document used to report the medications that a person may be taking while under the care of geneva304org.
All individuals under the care of geneva304org are required to file a medication form.
To fill out the medication form, individuals need to provide information about the medications they are taking, including the name, dosage, frequency, and any special instructions.
The purpose of the medication form is to ensure that geneva304org has accurate and up-to-date information about the medications that individuals are taking, to provide proper care.
The medication form must include the name of the medication, dosage, frequency, any special instructions, and the name of the prescribing healthcare provider.
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