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Authorization Form and Directions for Medication Administration This form is to be completed by a parent/guardian to request that school personnel administer medication to a student during school
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How to fill out school medication administration authorization

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How to fill out school medication administration authorization

01
Obtain the school medication administration authorization form from the school office.
02
Read the instructions and make sure you understand the policies and procedures for medication administration in the school.
03
Fill out the student's information section in the form, including name, grade, and date of birth.
04
Provide detailed information about the medication to be administered, such as the medication name, dosage, and frequency.
05
Specify the medical condition requiring the medication and any specific instructions or precautions.
06
Indicate the time and duration during which the medication should be administered.
07
Include any special considerations, such as whether the medication needs to be refrigerated or administered with food.
08
If necessary, provide additional information or instructions for emergency situations.
09
Sign and date the form, certifying that the information provided is true and accurate.
10
Return the completed form to the school office or designated staff member responsible for medication administration.

Who needs school medication administration authorization?

01
Any student who requires medication to be administered during school hours needs a school medication administration authorization.
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School medication administration authorization is a form that allows school staff to administer medication to students during school hours.
Parents or guardians of the student are required to file school medication administration authorization.
Parents or guardians need to provide the necessary information about the student, medication, dosage, and administration instructions on the form.
The purpose of school medication administration authorization is to ensure that students receive their necessary medication safely and accurately while at school.
Information such as student's name, medication name, dosage, administration schedule, and any potential side effects must be reported on the form.
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