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Bentham Public Schools Medication Authorization Name of Student: ___Parent/Guardian Name: ___DOB: ___Cell Phone: ___School: ___Parent/Guardian Name: ___Grade: ___Cell Phone: ___Name of LIC. Prescriber:
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Start with the personal information section. Input your full name, date of birth, address, and contact details.
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What is copy of wps med?
The copy of WPS med is a document that contains information about the medical treatment provided to an injured worker.
Who is required to file copy of wps med?
Employers or their insurance carriers are required to file the copy of WPS med.
How to fill out copy of wps med?
The copy of WPS med should be filled out with details of the medical treatment provided to the injured worker, including dates of service, type of treatment, and any medications prescribed.
What is the purpose of copy of wps med?
The purpose of the copy of WPS med is to ensure that accurate records of medical treatment for injured workers are maintained and provided to relevant parties.
What information must be reported on copy of wps med?
The copy of WPS med must include details such as the name of the injured worker, dates of service, type of treatment, and any medications prescribed.
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