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Date:SCHOOL MEDICATION AUTHORIZATION FORMStudent Picture Utah Department of Health In Accordance with UCA 53G9501 School: (This form is not required if Local Education Agency (LEA) has developed their
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How to fill out wwwccsdutorgcmslibschool medication authorization form
How to fill out wwwccsdutorgcmslibschool medication authorization form
01
To fill out the www.ccsdut.org/cms/lib/School_Medication_Authorization_Form.pdf:
02
Download the School Medication Authorization Form from the website www.ccsdut.org.
03
Print the form and fill in the student's information at the top, including their name, date of birth, and grade level.
04
Provide the contact information of the parent or guardian, including their name, phone number, and emergency contact information.
05
Indicate the specific medication that needs to be administered to the student by filling in the name of the medication, dosage, and frequency.
06
If there are any special instructions for administering the medication, write them down in the designated section.
07
If the student has any allergies or medical conditions that need to be considered, specify them on the form.
08
Sign and date the form at the bottom to indicate your consent and agreement to the terms.
09
If required, attach any additional documentation or doctor's notes that may be necessary for administering the medication.
10
Submit the completed form to the designated school personnel or follow the instructions provided by the school for submission.
11
Keep a copy of the filled-out form for your records.
Who needs wwwccsdutorgcmslibschool medication authorization form?
01
The School Medication Authorization Form is needed by students who require the administration of medication during school hours.
02
This form is necessary for students who have medical conditions, allergies, or require regular medication doses to be administered by school staff.
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What is wwwccsdutorgcmslibschool medication authorization form?
The wwwccsdutorgcmslibschool medication authorization form is a document that allows students to receive medication while at school.
Who is required to file wwwccsdutorgcmslibschool medication authorization form?
Parents or guardians of students who require medication during school hours are required to file the wwwccsdutorgcmslibschool medication authorization form.
How to fill out wwwccsdutorgcmslibschool medication authorization form?
To fill out the wwwccsdutorgcmslibschool medication authorization form, parents or guardians must provide information about the student, the medication, dosage, and instructions for administration.
What is the purpose of wwwccsdutorgcmslibschool medication authorization form?
The purpose of the wwwccsdutorgcmslibschool medication authorization form is to ensure that students receive their required medication safely and according to their healthcare provider's instructions.
What information must be reported on wwwccsdutorgcmslibschool medication authorization form?
The wwwccsdutorgcmslibschool medication authorization form must include information about the student, the medication, dosage, frequency of administration, and any special instructions or precautions.
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