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School Health Services St. Augustine School 20132014 School Year PHYSICIANS REQUEST FOR THE ADMINISTRATION OF MEDICATION BY SCHOOL PERSONNEL, who resides at Name of Student Date of Birth Street, is
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How to fill out to view physician's request:

01
Gather all necessary information: Start by collecting all the relevant information needed to fill out the physician's request form. This may include the patient's full name, contact details, medical history, insurance information, and any specific requests or instructions from the patient or their physician.
02
Review the form: Take the time to carefully read through the entire physician's request form to understand the requirements and sections that need to be completed. Make sure you have a clear understanding of what information is being asked for and how it should be provided.
03
Provide accurate details: Fill in each section of the form with accurate and up-to-date information. Pay close attention to details such as spelling the patient's name correctly, using the correct format for dates, and ensuring the accuracy of medical codes or numbers if required.
04
Attach supporting documents if necessary: Some physician's request forms may require the submission of additional documents or reports. If this is the case, make sure to gather all the necessary documents and securely attach them to the form. This could include medical records, lab results, referral letters, or any other relevant supporting materials.
05
Double-check for completion and accuracy: Before submitting the completed physician's request form, take the time to review it thoroughly for any errors or missing information. Ensure that all sections have been properly filled out and that all required fields have been completed. It is always a good idea to have someone else review the form as well to ensure its accuracy.

Who needs to view the physician's request:

01
The patient: The patient themselves would need to view the physician's request to ensure that their healthcare needs and preferences are properly communicated and taken into account.
02
The physician or healthcare provider: The requesting physician or healthcare provider needs to view the physician's request to understand the nature of the patient's healthcare needs, any specific requests or instructions, and to determine the appropriate course of action.
03
Relevant healthcare staff: Depending on the healthcare facility or organization, there may be other staff members involved in processing and reviewing the physician's request. This could include administrative staff, nurses, specialists, or other healthcare professionals who may be responsible for coordinating the necessary care or services.
Overall, filling out and reviewing the physician's request form accurately and thoroughly is crucial to ensuring that the patient's healthcare needs are effectively communicated and addressed. Remember to follow any specific instructions provided on the form and seek clarification if needed.

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