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Authorization Form for Schools to Administer Medications, Release and Indemnification Agreement Part I To Be Completed by the Parent/Guardian I hereby request and authorize the school personnel to
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The wwwthesienaschoolorgcopy060043medicationmontgomery county dhhs authorization is a form used to authorize the administration of medication by the Montgomery County DHHS.
Any individual or organization responsible for administering medication in Montgomery County is required to file the authorization form.
The form can be filled out by providing the necessary information about the medication, the patient, and the prescribing healthcare provider.
The purpose of the authorization form is to ensure that medication is administered safely and in compliance with regulations set by the DHHS.
Information such as the name of the medication, dosage instructions, patient information, and healthcare provider details must be reported on the form.
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