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School Health Services Harrisburg School District AUTHORIZATION FOR MEDICATION DURING SCHOOL HOURS This form must be completed whenever any medication must be given to a student during school hours
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How to fill out school health services authorization

How to fill out school health services authorization
01
Obtain the school health services authorization form from the school's administrative office.
02
Fill out the student's personal information including name, date of birth, and contact details.
03
Provide details about the specific health services required such as medication administration or emergency care.
04
If medication administration is needed, specify the medication name, dosage, and instructions.
05
Indicate any allergies or medical conditions that the school should be aware of.
06
Sign and date the form to certify the provided information.
07
Return the completed authorization form to the school's administrative office for processing.
Who needs school health services authorization?
01
Any student who requires health services or medication administration during school hours needs a school health services authorization.
02
Students with chronic illnesses, specific medical conditions, or ongoing medical treatments often require this authorization.
03
It is recommended for parents/guardians to fill out the authorization form even if their child does not currently require health services, as it allows the school to be prepared for any unexpected medical needs.
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What is school health services authorization?
School health services authorization is a form or process that allows certain individuals to provide health services within a school setting.
Who is required to file school health services authorization?
School health services authorization may need to be filed by school nurses, healthcare providers, or other personnel involved in providing health services at schools.
How to fill out school health services authorization?
To fill out school health services authorization, one must typically provide information about their qualifications, certifications, and the specific services they will be providing.
What is the purpose of school health services authorization?
The purpose of school health services authorization is to ensure that only qualified individuals are providing health services in a school setting, in order to protect the health and safety of students.
What information must be reported on school health services authorization?
Information such as the individual's name, qualifications, certifications, and the specific health services they will be providing may need to be reported on school health services authorization.
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