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Beverly Public Schools PARENTAL/GUARDIAN CONSENT For Medication Administration Students Name Today's Date Parent/Guardian printed name Telephone cumbersome: Cell Phone number Telephone number Work:
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How to fill out parentalguardian medication consent rev82010doc

01
Download the Parental/Guardian Medication Consent Rev82010doc form from the website or get a copy from your child's school.
02
Read the instructions and the consent form carefully to understand the requirements.
03
Fill in the personal information section with your name, address, contact number, and relationship to the child.
04
Provide details about the child, including their full name, date of birth, and any relevant medical conditions or allergies.
05
Review the medication details section and indicate the name of the medication, dosage, frequency, and any special instructions.
06
Sign and date the consent form at the designated section to indicate your agreement and understanding of the terms.
07
If required, attach any additional documentation such as a doctor's prescription or health care plan.
08
Make a copy of the completed form for your records.
09
Submit the filled-out Parental/Guardian Medication Consent Rev82010doc form to the school office or the designated personnel.

Who needs parentalguardian medication consent rev82010doc?

01
Parents or legal guardians of students who require medication administration at school.
02
Schools and educational institutions that have a policy of requiring parental/guardian consent for medication administration.
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Parental/guardian medication consent rev82010doc is a form that allows parents or guardians to give permission for their child to receive medication at school.
Parents or guardians of students who require medication during school hours are required to file parental/guardian medication consent rev82010doc.
Parents or guardians must complete all sections of the form, including the student's information, the medication details, and the parent/guardian signature.
The purpose of parental/guardian medication consent rev82010doc is to ensure that schools have permission to administer medication to students when necessary.
The form must include the student's name, date of birth, the name of the medication, dosage, frequency, and any special instructions.
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