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This form provides the necessary consent and instructions for administering medication to a student during school hours, while also protecting the school personnel from liability.

How to fill out medication during school hours

How to fill out Medication During School Hours, Physician/Parent Signatures/Hold Harmless Permission Form

1. Obtain the Medication During School Hours, Physician/Parent Signatures/Hold Harmless Permission Form from your school.
2. Fill out the student's name, grade, and date in the appropriate fields.
3. List the medication's name, dosage, and administration times as prescribed by the physician.
4. Have the physician complete and sign the section confirming the prescription and the need for the medication during school hours.
5. Ensure that a parent or guardian signs the form to give consent for the school to administer the medication.
6. Include the hold harmless clause, where applicable, to release the school from liability.
7. Submit the completed form to the school’s main office or the designated health official.

Who needs Medication During School Hours, Physician/Parent Signatures/Hold Harmless Permission Form?

1. Students who require medication to be administered during school hours due to health conditions.
2. Parents or guardians of students needing to manage their child's medication at school.
3. Physicians who prescribe medication that must be taken while the child is at school.

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What is Medication During School Hours, Physician/Parent Signatures/Hold Harmless Permission Form?

It is a form that allows students to receive prescribed medication during school hours, requiring signatures from both a physician and a parent or guardian, along with an agreement to hold the school harmless for administering the medication.

Who is required to file Medication During School Hours, Physician/Parent Signatures/Hold Harmless Permission Form?

The form must be filed by the parent or guardian of any student who needs to take medication during school hours, along with a physician's certification.

How to fill out Medication During School Hours, Physician/Parent Signatures/Hold Harmless Permission Form?

To fill out the form, a parent or guardian must complete their section with personal details, the student's information, and details of the medication, then obtain the physician's signature confirming the necessity for the student to take the medication at school.

What is the purpose of Medication During School Hours, Physician/Parent Signatures/Hold Harmless Permission Form?

The purpose of the form is to ensure that students can safely receive their necessary medications while at school, to protect the school from liability, and to ensure compliance with medical and legal requirements.

What information must be reported on Medication During School Hours, Physician/Parent Signatures/Hold Harmless Permission Form?

The form must include student information, the name of the medication, dosage, administration times, the physician's approval, and parent or guardian's consent and acknowledgment of the hold harmless clause.