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NORTHWEST ALLEN COUNTY SCHOOLS MEDICATION PERMIT FORM School Year Indiana State law requires that schools observe certain regulations in administering medications to students. Written permission of

How to fill out school medication prescriberparent authorization

How to fill out school medication prescriberparent authorization

1. Obtain the school medication prescriber/parent authorization form from the school nurse or the school administration office.
2. Read the form carefully and make sure you understand all the instructions and requirements.
3. Fill out the student's personal information accurately, including their name, date of birth, and student identification number.
4. Provide the details of the medication to be administered, such as the name, dosage, and frequency.
5. If necessary, attach a copy of the medication prescription from the healthcare provider.
6. Sign and date the form, indicating your consent and authorization for the school to administer the medication to your child.
7. Return the completed form to the school nurse or the designated school staff.
8. Keep a copy of the filled-out form for your records.

Who needs school medication prescriberparent authorization?

1. Any student who requires medication to be administered during school hours needs a school medication prescriber/parent authorization.
2. This authorization is necessary for the school to administer medication as per the student's healthcare provider's instructions.
3. It ensures that the school has consent and authorization from the parent or prescriber to administer the medication safely and appropriately.

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What is school medication prescriberparent authorization?

School medication prescriber/parent authorization is a form that allows students to receive medication prescribed by a medical provider while at school.

Who is required to file school medication prescriberparent authorization?

Parents or guardians of students requiring medication at school are required to file the authorization form.

How to fill out school medication prescriberparent authorization?

The authorization form must be completed with the student's information, the medication details, dosage instructions, and signed by the prescribing medical provider and parent or guardian.

What is the purpose of school medication prescriberparent authorization?

The purpose of the authorization form is to ensure that students receive necessary medication at school safely and according to prescribed instructions.

What information must be reported on school medication prescriberparent authorization?

The form must include student's name, date of birth, medication name, dosage, frequency, time of administration, possible side effects, and emergency contact information.