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(Please check one)ST. JAMES PARISH SCHOOL BOARD AFFIDAVIT BY PARENT/GUARDIAN VERIFYING PLACE OF RESIDENCE School Year: School: LHS JHS SLA SEES VES PES CGM GES REVISED: 5/19I. Identifying Information
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How to fill out sjps physicianparent request medication

01
Obtain the sjps physicianparent request medication form from the relevant authority or organization.
02
Fill in the personal details of the patient, such as name, date of birth, and contact information.
03
Provide the specific details of the medication requested, including the name, dosage, and frequency.
04
Indicate the reason for the medication, providing any necessary supporting documentation or medical records.
05
Include the signature of the physician or parent/guardian authorizing the request.
06
Submit the completed form to the appropriate authority or organization as instructed.

Who needs sjps physicianparent request medication?

01
Anyone who requires a medication prescribed by a physician for a minor or dependent should use the sjps physicianparent request medication form.
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SJPS Physician/Parent Request Medication is a form that allows a physician or parent to request medication for a student at St. John's Public School.
Either a physician or a parent of a student at St. John's Public School is required to file the SJPS Physician/Parent Request Medication form.
The SJPS Physician/Parent Request Medication form can be filled out by providing the student's information, details of the medication needed, reason for medication, and signature from the physician or parent.
The purpose of SJPS Physician/Parent Request Medication is to ensure that students receive necessary medication while at school, under the supervision of trained staff.
The SJPS Physician/Parent Request Medication form should include student's name, date of birth, details of medication, dosage, instructions for administration, and contact information for the physician or parent.
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