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Alabama State Department of EducationRevised 09/11/07SCHOOL MEDICATION PRESCRIBER/PARENT AUTHORIZATION STUDENT INFORMATION Student's Name School Grade Date of Birth Teacher School Year List of any
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How to fill out school medication prescriberparent

01
Obtain the school medication form from the school office or download it from the school's website.
02
Fill out the personal information section of the form, including the student's name, date of birth, grade, and contact information.
03
Provide details about the medication to be administered, such as the name, dosage, and frequency.
04
Indicate any special instructions or precautions that need to be followed while administering the medication.
05
If the medication requires a specific time schedule, mention the specific times for administration.
06
Provide information about any potential side effects or allergies the student may have.
07
Sign and date the form, certifying that the information provided is accurate and complete.
08
Make a copy of the completed form for your records.
09
Submit the filled-out form to the school office or the designated person in charge of medication administration.

Who needs school medication prescriberparent?

01
Anyone who wants to authorize the school to administer medication to their child during school hours needs a school medication prescriber/parent form.
02
This form is typically needed for students who require regular medication administration, such as those with chronic illnesses or conditions.
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The school medication prescriberparent is a form that allows parents or guardians to authorize the administration of medication to their children during school hours.
Parents or guardians of students who require medication during school hours are required to file the school medication prescriberparent.
To fill out the school medication prescriberparent, parents must provide detailed information including the child's name, medication name, dosage, administration times, and any special instructions from a healthcare provider.
The purpose of the school medication prescriberparent is to ensure that students who need medication during school are able to receive it safely and in accordance with medical guidelines.
The form must report the student's full name, the name of the medication, dosage, frequency of administration, potential side effects, and the healthcare provider's contact information.
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