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Authorization for the Administration of Medication by School, Child Care, and Youth Camp Personnel In Connecticut schools, licensed Child Care Centers and Group Care Homes, licensed Family Care Homes,
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How to fill out parentsguardians requesting medication administration

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How to fill out parentsguardians requesting medication administration

01
Obtain the necessary medication authorization form from the school or healthcare provider.
02
Fill out the form completely and accurately including the student's name, date of birth, medication details, dosage instructions, and any other required information.
03
Sign and date the form as the parent/guardian giving permission for the medication administration.
04
Make a copy of the completed form for your records.
05
Submit the form to the school nurse or appropriate school staff member responsible for medication administration.

Who needs parentsguardians requesting medication administration?

01
Parents or guardians of students who require medication administration during school hours.
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Parents/guardians are requesting medication administration to ensure that their child receives necessary medications during school hours or related activities.
Parents or guardians of students who need medication during school are required to file the request for medication administration.
To fill out the request, parents/guardians must provide details such as the child's name, the medication name, dosage, administration times, and any specific instructions or health conditions.
The purpose is to ensure that children who need medication for chronic conditions or emergencies receive their medications safely and on time while they are at school.
The information that must be reported includes the child's full name, medication name, dosage, frequency of administration, health conditions requiring the medication, and emergency contact information.
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