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North Shore Country Day School 310 Green Bay Road Winnetka, Illinois 60093 4094 T 847.441.3333 www.nscds.org MEDICATION AUTHORIZATION 2014-2015 All over-the-counter and prescription medications require
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How to fill out medication authorization 2014-2015?

01
Obtain the form: The first step is to obtain the medication authorization form for the year 2014-2015. Check with your healthcare provider, school, or any relevant organization to obtain the necessary document.
02
Read the instructions: Once you have the form, carefully read all the instructions provided. Pay attention to any specific requirements or guidelines mentioned before filling out the form.
03
Provide personal information: Begin by filling in your personal information accurately. This typically includes your full name, date of birth, contact information, and any other details required.
04
Mention the medication details: In the appropriate sections, provide the details of the medication that you or your dependent will need. Fill in the name of the medication, dosage, frequency, and any specific instructions given by the prescribing healthcare provider.
05
Indicate the duration: Specify the duration for which the medication authorization is required. This could be for the entire academic year 2014-2015 or for a specific time frame. Be sure to accurately indicate the start and end dates.
06
Include healthcare provider information: Include the information of the healthcare provider who prescribed the medication. This typically includes their name, address, phone number, and any other relevant contact details.
07
Specify any known allergies: If there are any known allergies to medications or specific ingredients, make sure to mention them on the form. This information helps to ensure the safety of the patient.
08
Sign and date: Before submitting the form, ensure that you have signed it and provided the date of completion. Make sure that the signature matches any requirements mentioned in the instructions.

Who needs medication authorization 2014-2015?

01
Students: If you are a student who requires regular medication administration at school, you will likely need to obtain medication authorization for the year 2014-2015. This ensures that the school staff is aware of and authorized to administer the necessary medication.
02
Parents or guardians: If you have a dependent who requires medication during school hours, such as a child with a chronic condition or special healthcare needs, you may need to complete the medication authorization form on their behalf. This allows the school to provide the required support and ensure the safe administration of medication.
03
Patients in healthcare settings: Individuals who are admitted to healthcare facilities, such as hospitals or long-term care facilities, may also require medication authorization. This is necessary to ensure that the healthcare providers have the necessary information and authorization to administer the required medications.
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Medication authorization is the approval given by a healthcare provider for a patient to receive a specific medication.
Medication authorization is typically filed by healthcare providers or pharmacies on behalf of patients.
Medication authorization forms can be filled out by providing information such as the patient's name, prescribed medication, dosage, and duration of treatment.
The purpose of medication authorization is to ensure that patients receive the appropriate medication prescribed by their healthcare providers.
The medication authorization form typically requires information such as patient demographics, healthcare provider information, medication details, and any necessary signatures.
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