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SCHOOL MEDICATION AUTHORIZATION FORM OTC (OVER THE COUNTER) MEDICATIONS Illinois State Law requires written permission by a parent/guardian and licensed healthcare provider for administration of any

How to fill out school medication authorization form

How to fill out school medication authorization form

1. Obtain a copy of the school medication authorization form from your child's school.
2. Read the instructions and requirements carefully to understand what information needs to be provided.
3. Fill out the student's personal information section, including their name, date of birth, and grade level.
4. Provide details about the medication that needs to be administered, such as the name, dosage, and frequency.
5. Indicate the reason for medication administration, whether it is for a chronic condition, temporary illness, or as-needed basis.
6. Include any special instructions or precautions that the school should be aware of when administering the medication.
7. If the medication requires specific storage or handling instructions, make sure to communicate that clearly.
8. Sign and date the form to confirm your consent for the school to administer the medication.
9. Return the completed form to the school office or the designated personnel responsible for medication administration.
10. Keep a copy of the filled-out form for your records.

Who needs school medication authorization form?

1. Any student who requires medication to be administered during school hours needs a school medication authorization form.
2. This can include students with chronic conditions such as asthma, diabetes, allergies, or epilepsy.
3. It also applies to students who may need temporary medication due to illness or injury.
4. In some cases, students who require medication for specific situations, such as emergency treatment for severe allergic reactions, may also need this form.
5. The form ensures that the school is aware of the student's medication needs and can administer it safely and appropriately.

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What is school medication authorization form?

The school medication authorization form is a document that allows a school to administer medication to a student during school hours or school-related activities, based on the instructions provided by the student's healthcare provider and the parent or guardian's consent.

Who is required to file school medication authorization form?

The form must be filed by the parent or guardian of a student who requires medication to be administered during school hours, as well as the student's healthcare provider who prescribes or recommends the medication.

How to fill out school medication authorization form?

To fill out the form, the parent or guardian should provide their contact information, the student's details, the name of the medication, the prescribed dosage, the frequency of administration, and any special instructions. The healthcare provider must also sign the form to authorize its completion.

What is the purpose of school medication authorization form?

The purpose of the form is to ensure that students receive the appropriate medication safely and legally while at school, and to communicate specific health information between parents, healthcare providers, and school staff.

What information must be reported on school medication authorization form?

The form must report the student's name, date of birth, name of medication, dosage, administration times, potential side effects, the healthcare provider's and parent's signatures, and emergency contact information.