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DORCHESTER SCHOOL DISTRICT TWO 20232024 MEDICATION PERMISSION REQUEST FORM The following is to be completed by a physician/legal prescriber. One medication and/or dose per form. Name of Student: ___DOB:
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How to fill out medication at schoolhealth services

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How to fill out medication at schoolhealth services

01
Obtain the necessary medication forms from the school health services.
02
Provide accurate information about the medication, dosage, and administration schedule.
03
Fill out all sections of the medication form completely and legibly.
04
Make sure to include any special instructions or information about the medication.
05
Have a healthcare provider sign the form if required.
06
Return the completed medication form to the school health services, along with the medication in its original container.

Who needs medication at schoolhealth services?

01
Students who require medication during school hours due to chronic medical conditions.
02
Students with allergies that may require emergency medication administration.
03
Students with conditions like asthma or diabetes that require regular medication.
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Medication at school health services refers to the process of providing and administering medication to students during school hours.
Parents or legal guardians of students who require medication during school hours are required to file medication at school health services.
To fill out medication at school health services, parents or legal guardians must complete the required forms provided by the school, including the medication administration form and any necessary medical authorization forms.
The purpose of medication at school health services is to ensure that students receive necessary medication in a safe and timely manner while at school, under the supervision of trained staff.
Information that must be reported on medication at school health services includes the name of the medication, dosage, administration schedule, possible side effects, and emergency contact information.
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