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Student Medication Administration Authorization 20222023 School YearStudent NameGradeTeacherThis form must be completed fully and turned into the Nurses Office BEFORE any medication will be administered.
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How to fill out student medication administration authorization
How to fill out student medication administration authorization
01
Obtain a copy of the student medication administration authorization form from the school or healthcare provider.
02
Fill out the student's personal information such as name, date of birth, and student ID number.
03
Provide information about the medication being administered including the name, dosage, and frequency.
04
Indicate the reason for the medication and any special instructions for administration.
05
Sign and date the form, ensuring that all information is accurate and up to date.
Who needs student medication administration authorization?
01
Students who require medication to be administered during school hours.
02
Students with chronic or acute medical conditions that require regular medication.
03
Students with allergies or other health concerns that may require emergency medication administration.
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What is student medication administration authorization?
Student medication administration authorization is a form that allows designated school staff to administer medication to students during school hours.
Who is required to file student medication administration authorization?
Parents or guardians of students who require medication to be administered during school hours are required to file student medication administration authorization.
How to fill out student medication administration authorization?
To fill out student medication administration authorization, parents or guardians must provide detailed information about the student, the medication, dosage, and administration instructions.
What is the purpose of student medication administration authorization?
The purpose of student medication administration authorization is to ensure that students receive necessary medication during school hours in a safe and consistent manner.
What information must be reported on student medication administration authorization?
Student medication administration authorization must include the student's name, medication name, dosage, administration instructions, physician's information, and parent/guardian consent.
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