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Woodburn School DistrictSelfMedication Agreement Students who are developmentally and/or behaviorally able will be allowed to carry and self administer medication needed for immediate access in order
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How to fill out self-medication agreement students who

01
Obtain a self-medication agreement form from the school or healthcare provider.
02
Read and understand the terms and conditions of the agreement.
03
Fill out the necessary personal information, such as your name, date of birth, and contact details.
04
Provide information about the medication you will be taking, including the name, dosage, and frequency of administration.
05
Indicate any known allergies or adverse reactions to medications.
06
Have the form reviewed and signed by your parent or guardian as well as a healthcare provider.
07
Return the completed self-medication agreement form to the school or healthcare provider.
08
Make sure to update the agreement if there are any changes to your medication or medical condition.

Who needs self-medication agreement students who?

01
Students who require regular medication administration during school hours.
02
Students who are capable of self-administering their medication responsibly.
03
Students with chronic conditions that require ongoing medication management.
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The self-medication agreement is a document that allows students to administer their own medication in school.
Parents or guardians of students who need to take medication during school hours are required to file the self-medication agreement.
Parents or guardians can obtain the self-medication agreement form from the school administration office and fill out all required information accurately.
The purpose of the self-medication agreement is to ensure that students can safely and responsibly administer their own medication while at school.
The self-medication agreement must include the student's name, the name of the medication, dosage, administration instructions, and any potential side effects.
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