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ARCHDIOCESE OF LOS ANGELES DEPARTMENT OF CATHOLIC SCHOOLS Parent Notification for the Administration of Medication at Schools the Parent/Guardian: Medical treatment is the responsibility of the parent(s)/guardian
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How to fill out medication authorization and permission

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How to fill out medication authorization and permission

01
To fill out medication authorization and permission, follow these steps:
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Obtain the necessary forms from the respective healthcare provider or pharmacy.
03
Provide your personal information, including your full name, date of birth, and contact details.
04
Fill in the medication details accurately, including the name of the medication, dosage, and frequency of administration.
05
Specify any allergies or existing medical conditions that may affect the use of the medication.
06
Indicate any specific instructions or restrictions regarding the medication's administration.
07
Sign and date the authorization form, ensuring all required fields are completed.
08
If necessary, have the form witnessed or notarized, adhering to any specific legal requirements.
09
Submit the completed medication authorization and permission form to the healthcare provider or pharmacy as instructed.
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It is important to carefully read and follow the provided instructions on the form to ensure accurate and safe medication management.

Who needs medication authorization and permission?

01
Medication authorization and permission may be required for the following individuals:
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- Patients who are under the care of a healthcare provider and require prescription medications.
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- Minors or individuals who are unable to independently provide consent for their own medical treatment.
04
- Individuals residing in a long-term care facility or nursing home, where medication administration is supervised.
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- Individuals participating in clinical trials or research studies involving the use of medications.
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- In some cases, individuals requiring over-the-counter medications or alternative treatments may also be asked to provide authorization.
07
It is important to consult with the respective healthcare provider or facility to determine the specific requirements for medication authorization and permission.
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Medication authorization and permission is the process by which a healthcare provider obtains approval to administer a specific medication to a patient.
Healthcare providers such as doctors, nurses, and pharmacists are required to file medication authorization and permission.
To fill out medication authorization and permission, healthcare providers must provide details about the patient, the medication to be administered, dosage, frequency, and any potential side effects.
The purpose of medication authorization and permission is to ensure that the right medication is given to the right patient in the right dose and at the right time, while also minimizing risks and monitoring for adverse effects.
Information such as patient details, medication name, dosage, frequency, route of administration, prescriber information, and any relevant allergies or contraindications must be reported on medication authorization and permission forms.
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