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School Medication Authorization for Students with Diabetes Student Name: Birthdate:Grade:School Year:Beaumont Children's Division of Pediatric Endocrinology Peter Gerrit, M.D. Bernard Began, M.D.
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How to fill out school medication authorization for

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How to fill out school medication authorization for

01
Obtain the school medication authorization form from your child's school or school district.
02
Fill out all required personal information about your child, including their name, date of birth, and contact information.
03
Provide details about the medication to be administered, including the name of the medication, dosage, and frequency.
04
Include any special instructions or considerations for administering the medication, such as specific times or conditions.
05
Sign and date the form to authorize the school to administer the medication to your child.

Who needs school medication authorization for?

01
Any student who requires medication to be administered during school hours needs school medication authorization.
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School medication authorization is for allowing students to receive and take medication during school hours under the supervision of school staff.
Parents or legal guardians are typically required to fill out school medication authorization forms for their children.
To fill out school medication authorization, parents or legal guardians must provide information about the medication, dosage, frequency, and any special instructions.
The purpose of school medication authorization is to ensure that students with medical needs can receive the necessary medication safely while at school.
Information such as the student's name, date of birth, medication name, dosage, administration instructions, possible side effects, and emergency contact information must be reported on the school medication authorization form.
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