Get the free Student Medication Authorization Form - Auburn City Schools - auburnschools

Alabama State Department of Education Revised 09/11/07 SCHOOL MEDICATION PRESCRIBER/PARENT AUTHORIZATION STUDENT INFORMATION Student s Name Date of Birth School Grade Teacher School Year List any

How to fill out student medication authorization form

How to fill out student medication authorization form:

1. Download the student medication authorization form from the school's website or obtain a hard copy from the school office.
2. Fill in the student's personal and contact information accurately, including their name, date of birth, and the grade they are in.
3. Provide the name and contact information of the parent or guardian who is authorizing the medication.
4. Specify the medication details, including the name, dosage, and administration instructions. If there are multiple medications, list them individually.
5. Indicate the reason for the medication, such as allergies, chronic conditions, or temporary illness.
6. Provide the schedule and timing for administering the medication, including specific times and any additional instructions.
7. Mention any possible side effects or potential risks associated with the medication, if applicable.
8. Sign and date the form to ensure validity and compliance with the school's medication policy.
9. Submit the completed form to the appropriate school personnel, usually the school nurse or designated staff member.

Who needs student medication authorization form?

1. Students who require medication to be administered during school hours need a student medication authorization form.
2. Students with chronic conditions, such as asthma, diabetes, or epilepsy, may require medication regularly.
3. Students who have allergies and may need emergency medication, such as an epinephrine auto-injector (EpiPen), may also need to fill out the authorization form.
4. Students who have recently undergone surgery or have temporary illnesses that require medication during the school day may be required to complete the form as well.
5. It is important to consult with the school's administration or healthcare professionals to determine if a student requires medication authorization.

For pdfFiller’s FAQs

What is student medication authorization form?

Student medication authorization form is a document that allows school personnel to administer medication to students during school hours.

Who is required to file student medication authorization form?

The student's parent or guardian is required to file the student medication authorization form.

How to fill out student medication authorization form?

To fill out the student medication authorization form, the parent or guardian must provide information about the student, the medication, dosage, and administration instructions.

What is the purpose of student medication authorization form?

The purpose of the student medication authorization form is to ensure that school personnel are aware of and able to administer necessary medication to students during school hours.

What information must be reported on student medication authorization form?

The student medication authorization form must include information about the student, the medication, dosage, administration instructions, emergency contacts, and any potential side effects.

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