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5330 F1/page 1 of 2AUTHORIZATION FOR PRESCRIBED MEDICATION/DRUG OR Treatment the Parent:THE FOLLOWING INFORMATION IS NECESSARY FOR ANY STUDENT TO USE PRESCRIBED MEDICATIONS OR TO RECEIVE TREATMENT
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To fill out medication/drug or treatment, follow these steps:
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Take out the medication/drug or treatment form or prescription provided by your healthcare provider.
03
Read the instructions on the form carefully.
04
Take note of any specific information required, such as dosage, frequency, or duration of treatment.
05
Fill in your personal information correctly, including your full name, date of birth, and contact details.
06
Provide any relevant medical history or current medications you are taking.
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Follow any additional instructions provided by your healthcare provider.
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Review the completed form for accuracy and make sure all required fields are filled out.
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Submit the filled-out medication/drug or treatment form to your healthcare provider or designated pharmacy.

Who needs medicationdrug or treatment?

01
Anyone who requires medication, drug, or treatment as prescribed by a healthcare provider needs to fill out the form.
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This includes patients with various medical conditions, illnesses, or injuries that require specific medications or treatments.
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It is essential for individuals to correctly fill out the form to ensure accurate and safe delivery of medication or treatment.
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Medication, drug, or treatment refers to the medical substances or procedures given to a person to help manage or cure a medical condition.
Medical professionals such as doctors, nurses, and pharmacists are required to prescribe and administer medication, drugs, or treatments.
Medication, drugs, or treatments are typically filled out by a healthcare provider including the name of the medication, dosage, frequency, and any special instructions.
The purpose of medication, drugs, or treatments is to improve a person's health, alleviate symptoms, or cure a medical condition.
Information such as the name of the medication, dosage, frequency, any special instructions, and any potential side effects must be reported on medication, drugs, or treatments.
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