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Physicians Request for Administration of OvertheCounter (OTC) Medications
20202021 School Year
Whenever possible, it is desirable for medications to be scheduled at times other than school hours for
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How to fill out school medication authorization form

How to fill out school medication authorization form
01
Step 1: Obtain a copy of the school medication authorization form from the school nurse or office.
02
Step 2: Read the instructions and requirements on the form carefully to ensure you meet all the necessary criteria for filling it out.
03
Step 3: Fill in the student's personal information, including their full name, date of birth, and student ID number.
04
Step 4: Provide detailed information about the medication being authorized, including the name, dosage, and frequency of administration.
05
Step 5: Indicate any instructions or special considerations for administering the medication, such as whether it needs to be taken with food or at a specific time of day.
06
Step 6: If applicable, include information about any allergies or medical conditions the student may have that could impact the administration of the medication.
07
Step 7: Have a healthcare provider, such as a doctor or nurse, review and sign the form to confirm their authorization and medical supervision.
08
Step 8: Review the completed form for accuracy and ensure all required fields have been filled in.
09
Step 9: Return the signed and completed form to the school nurse or office as instructed.
10
Step 10: Keep a copy of the form for your records, in case it is needed for future reference or updates.
Who needs school medication authorization form?
01
School medication authorization forms are typically required for students who need to take prescribed medication during school hours.
02
This can include students with chronic medical conditions, such as asthma or diabetes, that require regular medication administration.
03
Students who need to take medication for temporary conditions, such as a short course of antibiotics, may also need to fill out these forms.
04
In general, any student who requires the administration of medication by school personnel should have a school medication authorization form on file.
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What is school medication authorization form?
The school medication authorization form is a document that allows schools to administer medication to students during school hours as prescribed by a licensed healthcare provider.
Who is required to file school medication authorization form?
The form is typically required to be filed by the parents or guardians of a student who needs to take medication during school hours.
How to fill out school medication authorization form?
To fill out the form, parents or guardians must provide accurate information about the student, the medication, the dosage, the times to be administered, and include signatures from both the parent and the prescribing healthcare provider.
What is the purpose of school medication authorization form?
The purpose of the form is to ensure that students who require medication during school hours receive it safely and properly, in compliance with legal and health regulations.
What information must be reported on school medication authorization form?
The form must include the student's name, date of birth, specific medication name, dosage instructions, administration times, potential side effects, and signatures from the parent and healthcare provider.
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