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Sevastopol School District 20232024
Medication Authorization Form
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Student First & Last Name______Date of Birth×Note: Any change in medication will require a new formGradePrescription Medication1.
2.___
Name
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How to fill out medication authorization and student
How to fill out medication authorization and student
01
Obtain the medication authorization form from the school or healthcare provider.
02
Fill in the student's name, date of birth, and any relevant medical conditions or allergies.
03
Clearly list the name of the medication, dosage, and frequency of administration.
04
Include any special instructions or precautions provided by the healthcare provider.
05
Sign and date the form as the parent or guardian of the student.
Who needs medication authorization and student?
01
Any student who requires medication to be administered during school hours.
02
Parents or guardians of students who need to authorize the administration of medication to their child.
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What is medication authorization and student?
Medication authorization and student refers to the process of obtaining permission and documentation to administer medication to a student within a school or educational setting.
Who is required to file medication authorization and student?
Parents or guardians, along with healthcare professionals, are required to file medication authorization for their student.
How to fill out medication authorization and student?
To fill out medication authorization for a student, parents or guardians must provide details about the medication, dosage, schedule, and possible side effects, as well as the healthcare provider's instructions.
What is the purpose of medication authorization and student?
The purpose of medication authorization for students is to ensure that medications are administered safely and correctly within the school environment, following the healthcare provider's recommendations.
What information must be reported on medication authorization and student?
Information such as the student's name, medication name and dosage, schedule for administration, healthcare provider's contact information, and any allergies or side effects must be reported on the medication authorization form for students.
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