IL Harlem School District 122 Medication Authorization Form 2017-2025 free printable template

Harlem School Medication Authorization Form7:270ETo be completed by the children parent(s)/guardian(s) and kept in the School Nurses office or, in the absence of a school nurse, the Building Principals

How to fill out harlem school medication authorization

How to fill out IL Harlem School District 122 Medication Authorization

1. Obtain the IL Harlem School District 122 Medication Authorization form from the school or their website.
2. Fill in the student's full name and grade level at the top of the form.
3. Provide the name of the medication, dosage, frequency, and any special instructions for administration.
4. Include the parent or guardian's contact information and signature to authorize the medication administration.
5. Have the prescribing physician fill out and sign the section that validates the prescription and provides medical details.
6. Submit the completed form to the school's health office prior to the medication start date.

Who needs IL Harlem School District 122 Medication Authorization?

1. Students who require medication during school hours must have the IL Harlem School District 122 Medication Authorization form completed.
2. Parents or guardians of students needing medication administration at school.
3. Health professionals involved in prescribing medication for students.

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What is IL Harlem School District 122 Medication Authorization?

IL Harlem School District 122 Medication Authorization is a formal request that allows school staff to administer medication to students during school hours.

Who is required to file IL Harlem School District 122 Medication Authorization?

Parents or guardians of students who need medication during school hours are required to file the IL Harlem School District 122 Medication Authorization.

How to fill out IL Harlem School District 122 Medication Authorization?

To fill out the IL Harlem School District 122 Medication Authorization, parents or guardians need to complete the required section detailing the student's name, medication details, dosage, frequency, and a physician's approval if necessary.

What is the purpose of IL Harlem School District 122 Medication Authorization?

The purpose of IL Harlem School District 122 Medication Authorization is to ensure that students receive the necessary medications safely and in accordance with legal and health regulations.

What information must be reported on IL Harlem School District 122 Medication Authorization?

The information that must be reported includes the student's name, date of birth, medication name, dosage, administration route, frequency, and any relevant medical conditions or allergies.