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MURRAY SCHOOL DISTRICT 5102 S. Commerce Drive Murray, UT 84107 (801) 2647400STUDENT MEDICATION AUTHORIZATION FORMSTUDENT INFORMATION: Student Name Date of Birth Grade Parent/Guardian Home Phone Work

How to fill out student medication authorization form

How to fill out student medication authorization form

1. Start by obtaining a student medication authorization form from the school or educational institution.
2. Fill out the student's personal information, including their name, date of birth, and student identification number.
3. Provide details about the medication that needs to be administered to the student. Include the name of the medication, dosage instructions, and the frequency of administration.
4. Indicate any specific time frames for the medication, such as only during school hours or during specific activities.
5. If there are any potential side effects or precautions to be aware of, make sure to include them in the form.
6. Ensure that the form includes emergency contact information in case of any adverse reactions or situations that may require immediate attention.
7. If there are any special storage requirements for the medication, mention them in the form.
8. Review the completed form for accuracy and completeness.
9. Sign and date the form, indicating your consent for the administration of the medication.
10. Return the completed form to the appropriate school authority or designated personnel responsible for administering medications.

Who needs student medication authorization form?

1. Students who require medication to be administered at school or during school activities need to have a student medication authorization form. This may include students with chronic conditions, allergies, seizures, or other medical needs that require regular medication administration.

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What is student medication authorization form?

The student medication authorization form is a document that grants permission for a school to administer medication to a student during school hours.

Who is required to file student medication authorization form?

The student's parent or legal guardian is required to file the student medication authorization form.

How to fill out student medication authorization form?

The form typically requires the student's personal information, the medication details, dosage instructions, and emergency contact information.

What is the purpose of student medication authorization form?

The purpose of the student medication authorization form is to ensure the safety and proper administration of medication to students while they are at school.

What information must be reported on student medication authorization form?

The form must include the student's name, date of birth, medication name, dosage, administration instructions, any known allergies, and emergency contact information.