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URSULINE ACADEMY HEALTH OFFICE 7814937721 FAX 7813264898 AUTHORIZATION FOR MEDICATION ADMINISTRATIONBoth a licensed prescriber and a parent/guardian must complete and sign this form before prescription
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How to fill out authorization for school medication

How to fill out authorization for school medication
01
Obtain the school's authorization form for medication.
02
Fill in the student's name, date of birth, and grade.
03
Specify the medication to be administered, dosage, and frequency.
04
Include any special instructions or precautions.
05
Sign and date the form as the parent or legal guardian.
06
Have the student's healthcare provider sign and provide any necessary prescriptions or documentation.
07
Return the completed form to the school's designated staff member responsible for medication.
Who needs authorization for school medication?
01
Any student who requires medication to be administered during school hours needs authorization for school medication.
02
This includes students with chronic conditions such as asthma, allergies, diabetes, or ADHD, as well as those who may require occasional medication for emergencies.
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What is authorization for school medication?
Authorization for school medication is a form that allows students to receive medication while at school.
Who is required to file authorization for school medication?
The student's parent or guardian is required to file authorization for school medication.
How to fill out authorization for school medication?
Authorization for school medication can be filled out by providing the student's information, the medication details, dosage instructions, and emergency contact information.
What is the purpose of authorization for school medication?
The purpose of authorization for school medication is to ensure that students who require medication during school hours have the necessary permissions and information in place.
What information must be reported on authorization for school medication?
Information such as student's name, date of birth, medication name, dosage, frequency, time to be administered, and any special instructions must be reported on authorization for school medication.
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