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Washington County School District Health Services ALLERGY-ANAPHYLAXIS MEDICATION ADMINISTRATION AUTHORIZATION STUDENT: SCHOOL: GRADE: STATE: ADDRESS: MEDICAL HISTORY: DOB: ZIP: KNOWN ALLERGIES: ?
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How to fill out 344-allergyanaphylaxis administration authorization
How to fill out 344-allergyanaphylaxis administration authorization:
01
Start by entering the patient's personal information, including their name, date of birth, and contact information.
02
Next, provide details about the patient's allergies or anaphylactic reactions. Include information about specific allergens that the patient is allergic to and any medications they are currently taking to manage their allergies.
03
Indicate the authorized individuals who are allowed to administer allergy medications or provide emergency treatment to the patient. This may include healthcare professionals, family members, or caregivers.
04
Specify the medications or treatments that are authorized to be administered in case of an allergic reaction or anaphylaxis. Be as specific as possible, including the dosage and frequency of administration.
05
Finally, ensure that the authorization is signed and dated by the patient or their legal guardian, indicating their consent for the specified individuals to provide allergy or anaphylaxis treatment.
Who needs 344-allergyanaphylaxis administration authorization:
01
Individuals with severe allergies: This authorization form is particularly relevant for individuals who have a history of severe allergies or anaphylaxis. It allows them to designate authorized individuals who can administer emergency treatments in case of an allergic reaction.
02
Parents or guardians of children with allergies: Parents or legal guardians of children with allergies may need this authorization to ensure that teachers, school nurses, or other caregivers are able to provide timely treatment in case of an allergic reaction.
03
Healthcare professionals: Healthcare professionals who treat patients with allergies may require this authorization in order to have legal permission to administer necessary medications or treatments in an emergency situation. This helps to ensure that the patient receives prompt and appropriate care.
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