Get the free Student Medication Authorization Form 8

Medication Request Form Administrative Procedure: 532.2 Date Adopted: 11/13/2009 Dates Reviewed: 6/8/2015, 12/12/2016Section: 500 STUDENTS Date Revised: 6/8/2015 Student Name Birthdate School Grade

How to fill out student medication authorization form

How to fill out student medication authorization form

1. Obtain a copy of the student medication authorization form from the school or medical office.
2. Read the form carefully to understand the information and requirements.
3. Fill out the student's personal information, such as their name, date of birth, and contact details.
4. Specify the medication details, including the name of the medication, dosage instructions, and any specific times it should be administered.
5. Indicate any known allergies or medical conditions that the student may have.
6. Provide emergency contact information in case of any adverse reactions or emergencies.
7. If necessary, include special instructions or additional notes regarding the student's medication needs.
8. Review the completed form for accuracy and make any necessary corrections.
9. Sign and date the form to confirm your consent and understanding.
10. Submit the form to the appropriate school or medical personnel for further processing.

Who needs student medication authorization form?

1. Any student who requires regular medication administration during school hours needs a student medication authorization form.
2. This can include students with chronic medical conditions, allergies, attention deficit hyperactivity disorder (ADHD), asthma, diabetes, epilepsy, and other health-related needs.
3. Parents or legal guardians are typically responsible for filling out and submitting this form on behalf of the student.

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