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COMMUNITY CONSOLIDATED SCHOOL DISTRICT 146
SCHOOL MEDICATION AUTHORIZATION FORM
It is the policy of School District 146 that the administration of medication to students during regular school hours
and
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How to fill out school medication authorization form

How to fill out school medication authorization form
01
Obtain a copy of the school medication authorization form from your child's school.
02
Read the form carefully to understand the requirements and instructions.
03
Fill out the student's information section, including their full name, date of birth, and grade level.
04
Provide the details of the medication that needs to be administered, such as the name, dosage, and frequency.
05
If applicable, indicate any specific instructions or restrictions regarding the medication administration.
06
Sign and date the form to ensure your consent for the school to administer the medication.
07
If necessary, have a healthcare provider complete and sign the healthcare provider section of the form.
08
Submit the completed authorization form to the school office or the designated personnel responsible for medication administration.
Who needs school medication authorization form?
01
Any student who requires medication to be administered during school hours needs a school medication authorization form. This includes students with chronic illnesses, allergies, disabilities, or any other medical conditions that require regular or emergency medication. The form provides consent and detailed instructions to the school personnel on how to properly administer the medication to the student.
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What is school medication authorization form?
The school medication authorization form is a document that allows a parent or guardian to grant permission for a school to administer medication to their child during school hours.
Who is required to file school medication authorization form?
Parents or guardians of students who require medication during school hours are typically required to file the school medication authorization form.
How to fill out school medication authorization form?
To fill out the school medication authorization form, provide the child's information, the specific medication details, dosages, administration times, and any special instructions, and then sign the form to verify the information.
What is the purpose of school medication authorization form?
The purpose of the school medication authorization form is to ensure that students receive their prescribed medications safely and appropriately while at school, in compliance with health regulations.
What information must be reported on school medication authorization form?
The form must report the student's name, medication name, dosage, frequency of administration, potential side effects, and the parent or guardian's contact information.
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