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WORTHINGTON SCHOOLS
McCord MIDDLE SCHOOL
PARENT OR STUDENT REQUEST FOR ASSISTANCE IN THE ADMINISTRATION OF
MEDICATION BY SCHOOL PERSONNEL
I hereby request and give my permission to the school nurse
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How to fill out worthington schools medication authorization
How to fill out worthington schools medication authorization
01
Obtain the Worthington Schools Medication Authorization form from the school office or download it from the school website.
02
Fill out the student's personal information, including name, date of birth, grade, and school.
03
Provide the details of the medication that needs to be administered, such as the name, dosage, and frequency.
04
Indicate the reason for the medication and any specific instructions or precautions.
05
If required, provide additional information about the student's medical condition or allergies.
06
Sign and date the form.
07
Return the completed form to the school office.
08
Make copies of the form for your own records.
Who needs worthington schools medication authorization?
01
Any student who requires medication to be administered at school needs the Worthington Schools Medication Authorization. This includes both prescription and over-the-counter medications.
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What is worthington schools medication authorization?
Worthington Schools Medication Authorization is a form that allows students to receive medication during school hours, ensuring that students have access to necessary medications while at school.
Who is required to file worthington schools medication authorization?
Parents or guardians of students who need to take medication during school hours are required to file the Worthington Schools Medication Authorization.
How to fill out worthington schools medication authorization?
To fill out the Worthington Schools Medication Authorization, provide the student's personal information, details about the medication, the dosage, administration times, and obtain the necessary signatures from a parent or guardian and a licensed healthcare provider.
What is the purpose of worthington schools medication authorization?
The purpose of the Worthington Schools Medication Authorization is to ensure the safe administration of medication to students during school hours and to maintain a record of the medications taken by students.
What information must be reported on worthington schools medication authorization?
The information that must be reported includes the student's name, medication name, dosage, frequency of administration, reason for medication, and signatures from the parent/guardian and healthcare provider.
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