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ALPINE SCHOOL DISTRICT STUDENT HEALTH INFORMATION Students Name ___ Birth Date ___ Sex ___ Address ___ City ___ Grade ___ Home Phone ___ Cell Phone ___ Other Phone ___ Parent×Guardian: ___ Parent×Guardian

How to fill out a student medication authorization

How to fill out a student medication authorization

1. Start by gathering the necessary documents such as the student's medical history, prescribed medication details, and any relevant doctor's notes or instructions.
2. Obtain the official student medication authorization form from the school or educational institution. This form may be available online or in-person at the school office.
3. Fill out the student's personal information on the authorization form, including their full name, date of birth, and grade level.
4. Include the contact information of the student's parent or guardian, including their name, phone number, and email address.
5. Specify the details of the medication being authorized, such as the name of the medication, dosage instructions, and frequency of administration.
6. Provide any additional information or special instructions regarding the administration of the medication, if necessary.
7. If required, have the student's doctor or healthcare provider sign and provide any necessary medical documentation or prescriptions.
8. Review the completed form to ensure all information is accurate and legible.
9. Submit the filled-out student medication authorization form to the designated school authority or healthcare personnel.
10. Keep a copy of the completed form for your records.

Who needs a student medication authorization?

1. Any student who requires medication administration during school hours needs a student medication authorization.
2. This authorization form ensures that the school is aware of the student's medical needs and can provide the necessary assistance and supervision.
3. Students with chronic conditions, such as asthma, diabetes, severe allergies, or epilepsy, may especially require a medication authorization.
4. Additionally, students who need to take prescription medication or require any form of medical intervention while at school should have a completed medication authorization form on file.

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What is a student medication authorization?

A student medication authorization is a form that allows school staff to administer medication to a student during school hours.

Who is required to file a student medication authorization?

Parents or legal guardians of the student are required to file a student medication authorization.

How to fill out a student medication authorization?

To fill out a student medication authorization, parents or legal guardians must provide information about the student, the medication, dosage, and instructions for administration.

What is the purpose of a student medication authorization?

The purpose of a student medication authorization is to ensure that school staff can safely and accurately administer medication to a student as needed.

What information must be reported on a student medication authorization?

The student's name, medication name, dosage, administration instructions, emergency contact information, and physician's contact information must be reported on a student medication authorization.