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HARTLAND CONSOLIDATED SCHOOLS Medication Authorization Form Medication shall include prescriptions, overthecounter medication and other remedies per HCS Board policy #5330. STUDENT NAME DATE of BIRTH
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To fill out medication shall including prescriptions, follow these steps:
02
Gather all the necessary information such as the patient's name, date of birth, and contact details.
03
Verify the prescription details including the medication name, dosage, and frequency.
04
Collect the prescription from the patient or their healthcare provider.
05
Fill out the necessary information on the medication form, including the prescription details, patient's information, and any additional instructions.
06
Double-check the filled-out form for accuracy and completeness.
07
Submit the filled-out medication form along with the prescription to the appropriate authority or pharmacy.
08
Keep a copy of the filled-out form and prescription for record-keeping purposes.

Who needs medication shall include prescriptions?

01
Anyone who requires medication that is regulated and requires a prescription needs to fill out medication with prescriptions.
02
This includes individuals who have been prescribed medication by a healthcare professional, such as doctors or pharmacists.
03
Furthermore, individuals who need medication that falls under controlled substances or requires special monitoring also need to include prescriptions when filling out medication forms.
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Medication that shall include prescriptions refers to any medicinal product that is legally prescribed by a licensed healthcare provider to treat specific health conditions.
Healthcare providers, including doctors and pharmacists, are typically required to file records of prescriptions for medications.
To fill out a prescription, a healthcare provider must include the patient's information, medication name, dosage, instructions for use, and their own signature.
The purpose is to ensure that patients receive appropriate and safe medications for their conditions while also providing a legal record of the prescribed treatments.
The information must include the patient's name, medication details, dosage, administration route, prescribing date, and the prescriber's information.
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