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SCCS MEDICATION DISPENSING PERMISSION SLIP 20232024 Date: ___ Childs Name: ___ Please indicate if SCCS has permission to administer the following overthecounter medications (or equivalent generic)
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How to fill out discretionary medication permission form

How to fill out discretionary medication permission form
01
To fill out a discretionary medication permission form, follow these steps:
02
Obtain the form from the appropriate authority or organization.
03
Read the instructions on the form carefully.
04
Fill in your personal information such as name, date of birth, and contact details.
05
Include information about the medications that require discretion, such as the name, dosage, and frequency.
06
Provide any relevant medical and health history that may impact the need for discretionary medication.
07
Indicate the reason for needing discretionary medication permission, and provide any supporting documentation if required.
08
Sign and date the form to confirm your consent and understanding of the terms.
09
Submit the completed form to the appropriate authority or organization as instructed.
10
Keep a copy of the filled-out form for your records.
11
Remember to consult with a healthcare professional or the organization's guidelines for any specific instructions or requirements.
Who needs discretionary medication permission form?
01
The discretionary medication permission form is typically required for individuals who need to take medication that may be considered unconventional or require special consideration.
02
This may include individuals with chronic conditions, allergies, disabilities, or other medical situations that necessitate the use of medications not commonly permitted or used. Often, schools, childcare centers, workplaces, and other organizations require such forms to ensure proper administration and legal compliance for the individual's medication needs.
03
It is advisable to consult with the specific authority or organization to determine if a discretionary medication permission form is necessary and to obtain the correct form.
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What is discretionary medication permission form?
The discretionary medication permission form is a document that allows individuals, such as parents or guardians, to authorize the administration of non-prescription or over-the-counter medications to their children in a specific setting, typically in schools or camps.
Who is required to file discretionary medication permission form?
Parents or guardians of students who wish to have non-prescription medications administered to their children at school or similar institutions are required to file the discretionary medication permission form.
How to fill out discretionary medication permission form?
To fill out the discretionary medication permission form, a parent or guardian should provide the child's name, the name of the medication, dosage instructions, the reason for administration, and their signature along with the date.
What is the purpose of discretionary medication permission form?
The purpose of the discretionary medication permission form is to ensure that the administration of non-prescription medications is authorized by a parent or guardian, promoting safety and compliance with health regulations.
What information must be reported on discretionary medication permission form?
The information that must be reported on the discretionary medication permission form includes the child's name, the medication's name, dosage, administration schedule, reason for taking the medication, and the parent or guardian's contact information.
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