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PRESCRIPTION MEDICATION AUTHORIZATION FORM 20232024 Please complete this form if the below named student must take medication during school hours and it cannot be given at home. Baltic School District
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How to fill out student prescription medication authorization

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How to fill out student prescription medication authorization

01
To fill out a student prescription medication authorization form, follow these steps:
02
Obtain the form from the appropriate school or educational institution.
03
Fill in the student's personal information, such as their name, date of birth, and contact details.
04
Provide the necessary medical information, including the name of the medication, dosage instructions, and any specific administration requirements.
05
Indicate the duration for which the medication authorization is valid.
06
Note any potential side effects or allergies associated with the medication.
07
Include the signature of a healthcare professional, such as a doctor or nurse, who can verify the accuracy of the information provided.
08
Submit the completed form to the designated school authority or healthcare department for review and approval.
09
Keep a copy of the completed form for your records.

Who needs student prescription medication authorization?

01
Student prescription medication authorization is needed by students who require medication to be administered during school hours.
02
This includes students with chronic illnesses, disabilities, or medical conditions that necessitate regular medication.
03
Parents or guardians of the student must complete the authorization form to ensure the school is informed about the medication and can provide appropriate care.
04
Additionally, students with temporary conditions, such as recovering from surgery or injury, may also require medication authorization for a limited duration of time.
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Student prescription medication authorization is a formal agreement that grants permission for students to take prescribed medications during school hours under supervision or self-administration.
Typically, parents or guardians of students who require prescription medications during school hours are required to file the student prescription medication authorization.
To fill out the student prescription medication authorization, one must obtain the appropriate form from the school, provide details about the student, the medication prescribed, the dosage, the schedule for administration, and sign it.
The purpose of student prescription medication authorization is to ensure that students can safely receive necessary medications during school, while also considering legal and safety guidelines.
The information that must be reported includes the student's name, date of birth, medication name, purpose, dosage, administration schedule, physician's information, and consent signatures from parents or guardians.
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