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SCHOOL MEDICATION AUTHORIZATION FORM Name of child: ___Date of birth: ___School ___ Phone: ___ FAX#: ___ California Ed Code 49423 allows the school nurse or other designated school personnel to assist
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How to fill out school-medication-authorization-form

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How to fill out school-medication-authorization-form

01
Begin by downloading the school-medication-authorization-form from the school's website.
02
Fill in your child's personal information such as name, date of birth, grade, and school name.
03
Provide details about the medication to be administered including the name, dosage, and frequency.
04
Indicate any specific instructions or special considerations for administering the medication.
05
If necessary, include information about potential side effects or allergies that the school should be aware of.
06
Sign and date the form to acknowledge your consent and understanding of the medication administration.
07
Submit the completed form to the appropriate school staff member or office.
08
Keep a copy of the filled-out form for your records.

Who needs school-medication-authorization-form?

01
Any student who requires medication to be administered during school hours needs to fill out the school-medication-authorization-form. This includes students with chronic illnesses, allergies, or conditions that require regular or emergency medication. Additionally, students who need to carry and self-administer medication while at school may also need to complete this form.
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The school-medication-authorization-form is a document that allows students to bring and take medication at school.
Parents or guardians of students who require medication during school hours are required to file the school-medication-authorization-form.
To fill out the school-medication-authorization-form, parents or guardians need to provide details of the student, the medication, dosage, time to be administered, and any specific instructions.
The purpose of the school-medication-authorization-form is to ensure that students receive the necessary medication in a safe and timely manner while at school.
Information such as student's name, the name of the medication, dosage, time to be administered, any specific instructions, and contact information of parents or guardians must be reported on the school-medication-authorization-form.
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