Get the free School Medication Administration Authorization Form.pdf

La Salle Catholic College Prep AUTHORIZATION FOR MEDICATION ADMINISTRATION BY DESIGNATED SCHOOL PERSONNEL Students name:Birthdate:Grade: ___I give school personnel permission to administer this medication

How to fill out school medication administration authorization

How to fill out school medication administration authorization

1. Step 1: Collect the necessary forms and documents from the school administration. This may include the medication administration authorization form, medical history form, and any other relevant documents.
2. Step 2: Review the medication administration authorization form carefully. Ensure that you understand all the sections and requirements.
3. Step 3: Provide accurate and complete information about the student, including their name, date of birth, grade, and any specific medical conditions or allergies.
4. Step 4: Indicate the medication that needs to be administered and the dosage. Include the medication name, strength, and frequency of administration.
5. Step 5: If required, provide explicit instructions on how the medication should be administered (e.g., with or without food, at specific times).
6. Step 6: If the medication needs to be taken during specific circumstances, such as during field trips or after-school activities, ensure to mention it in the form.
7. Step 7: If there are any potential side effects or allergic reactions to the medication, specify them in the form.
8. Step 8: Sign and date the authorization form to confirm your consent and understanding of the medication administration process.
9. Step 9: Submit the completed authorization form to the school administration or the designated personnel responsible for medication administration.
10. Step 10: Keep a copy of the authorization form for your records and ensure that the school has a copy as well.

Who needs school medication administration authorization?

1. Any student who requires medication to be administered during school hours needs school medication administration authorization.
2. This can include students with chronic illnesses, allergies, asthma, diabetes, ADHD, or any other medical condition that requires regular medication.
3. Students who need emergency medication, such as epinephrine auto-injectors or inhalers, also require school medication administration authorization.
4. It is important to consult with the school administration and healthcare providers to determine if medication administration is necessary and obtain the required authorization.

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What is school medication administration authorization?

School medication administration authorization is a formal document that allows school personnel to administer prescribed medications to students during school hours.

Who is required to file school medication administration authorization?

Parents or guardians of students who require medication during school hours must file the school medication administration authorization.

How to fill out school medication administration authorization?

To fill out the school medication administration authorization, provide the student's information, details about the medication, dosage, frequency of administration, and the signature of a licensed healthcare provider.

What is the purpose of school medication administration authorization?

The purpose of school medication administration authorization is to ensure that students receive their prescribed medications safely and legally while at school.

What information must be reported on school medication administration authorization?

The information that must be reported includes the student's name, the name of the medication, prescribed dosage, administration schedule, potential side effects, and signatures from a parent and a healthcare provider.