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SCHOOL HEALTH OFFICE20212022STUDENT MEDICATION FORM 1. 2. 3. 4.ONE (1) MEDICATION PER FORM Required for all medication (prescription and over the counter) Form is required to be completed each school
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How to fill out student medication form 2021-22
How to fill out student medication form 2021-22
01
Obtain the student medication form for the 2021-22 school year from the school office or website.
02
Complete all personal information sections including student's name, date of birth, and contact information.
03
Provide details of the medication to be administered including name, dosage, frequency, and administration instructions.
04
Have the healthcare provider complete the portion of the form pertaining to medication authorization and signature.
05
Submit the completed form to the school nurse or designated school official for review and approval.
Who needs student medication form 2021-22?
01
Any student who requires medication to be administered during school hours needs to fill out the student medication form for the 2021-22 school year.
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What is student medication form 22?
Student medication form 22 is a document used to report and authorize the administration of medication to students in a school setting.
Who is required to file student medication form 22?
Parents or guardians of students who require medication to be administered during school hours are required to file student medication form 22.
How to fill out student medication form 22?
Student medication form 22 should be filled out by providing details of the student, the prescribed medication, dosage, administration instructions, and any potential side effects.
What is the purpose of student medication form 22?
The purpose of student medication form 22 is to ensure that students receive the necessary medication safely and appropriately while at school.
What information must be reported on student medication form 22?
Information such as student's name, date of birth, prescribed medication, dosage, administration schedule, emergency contact information, and physician's signature must be reported on student medication form 22.
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