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MEDICATION ADMINISTRATION AUTHORIZATION From This form is only valid for 20202021 school year* This form is required for all medication, including nonprescription (overthecounter) medication. * No
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Step 1: Download the School Medication Administration Authorization form from www.marylandpublicschools.org/about/documents
02
Step 2: Fill out the student information section, including name, school, grade, and date of birth
03
Step 3: Provide details of the medication to be administered, including name, dosage, and times to be given
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Step 4: Indicate any special instructions or conditions for administering the medication
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Step 5: Sign and date the form, indicating consent for the school to administer the medication

Who needs wwwmarylandpublicschoolsorgaboutdocumentsschool medication administration authorization?

01
Students who require medication to be administered during school hours
02
Parents or guardians of students who need medication administered at school
03
School nurses or other authorized school personnel responsible for administering medications
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It is a form that authorizes school staff to administer medication to students during school hours.
Parents or guardians of students who require medication during school hours are required to file the authorization form.
The form must be completed with the student's information, the medication details, dosage instructions, and the parent or guardian's signature.
The purpose of the authorization form is to ensure that school staff are authorized to administer medication to students safely and as prescribed by healthcare providers.
The form must include the student's name, date of birth, medication name, dosage, administration instructions, and any known allergies or adverse reactions.
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