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CapeElizabethSchoolDepartment Request/PermissiontoAdministerMedicationinSchool Godparent/Guardian Date: StudentName: Grade/Teacher: Medication: Pharmacy: PrescribingHealthCareProvider: PhoneNumber:
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How to fill out requestpermissiontoadministermedicationinschool

How to fill out requestpermissiontoadministermedicationinschool
01
Start by obtaining the request form for permission to administer medication in school. You can usually get this form from the school administration or the school nurse.
02
Fill out the student's personal information section on the form. This includes their full name, date of birth, grade level, and contact information.
03
Provide details about the medication that needs to be administered. Include the name of the medication, dosage instructions, and any special instructions or precautions.
04
Indicate the times and frequency at which the medication needs to be administered. This may include specifying whether it should be given before, during, or after school hours.
05
If there are any potential side effects or allergies to the medication, make sure to note them on the form. This will help school staff to be aware and take necessary precautions.
06
If there are any specific storage requirements for the medication, such as refrigeration, mention them on the form.
07
Sign and date the form as the parent or legal guardian of the student. If applicable, have the healthcare provider also sign the form.
08
Submit the completed form to the school administration or the school nurse. Make sure to keep a copy of the form for your records.
09
You may be contacted by the school administration or the school nurse for any further information or clarification regarding the medication administration.
10
Review the school's policies and procedures regarding medication administration to ensure compliance and to understand the responsibilities of both the school and the parent.
Who needs requestpermissiontoadministermedicationinschool?
01
Anyone who requires their child to receive medication during school hours needs to fill out a request for permission to administer medication in school form. This includes parents or legal guardians of students who need ongoing medication, such as asthma inhalers or daily medication for medical conditions, as well as parents or legal guardians of students who may require occasional medication, such as pain relievers or allergy medication. The form ensures that the school is aware of the medication needs of the student and can administer them safely and responsibly.
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What is requestpermissiontoadministermedicationinschool?
Request Permission to Administer Medication in School is a form that allows school personnel to administer medication to students while at school.
Who is required to file requestpermissiontoadministermedicationinschool?
Parents or guardians of students who require medication to be administered during school hours are required to file Request Permission to Administer Medication in School.
How to fill out requestpermissiontoadministermedicationinschool?
To fill out Request Permission to Administer Medication in School, parents or guardians need to provide details of the student, medication information, dosing instructions, emergency contact information, and any other relevant details.
What is the purpose of requestpermissiontoadministermedicationinschool?
The purpose of Request Permission to Administer Medication in School is to ensure that students who require medication can receive it safely and in accordance with school policies.
What information must be reported on requestpermissiontoadministermedicationinschool?
Information reported on Request Permission to Administer Medication in School includes student's name, date of birth, medication name, dosage, frequency of administration, possible side effects, emergency contact information, and any special instructions.
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