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Coeur dAlene School District No. 2713510FeSCHOOL SEIZURE RESPONSE MEDICATION AUTHORIZATION FORM SCHOOL YEAR ___ ___ STUDENT NAME: ___ Birthdate: ___ SCHOOL: ___ Grade: ___ _ THIS PORTION TO BE COMPLETED
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How to fill out medication authorization form school
How to fill out medication authorization form school
01
Obtain a medication authorization form from the school's administration office.
02
Fill in the student's personal information such as name, date of birth, and grade.
03
Specify the name of the medication being authorized, dosage instructions, and the reason for the medication.
04
Provide any relevant medical history or allergies that the school should be aware of.
05
Sign and date the form as the parent or guardian of the student.
06
Return the completed form to the school nurse or designated staff member.
Who needs medication authorization form school?
01
Any student who requires medication to be administered during school hours.
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What is medication authorization form school?
A medication authorization form for school is a document that allows school personnel to administer medication to students during school hours under specific guidelines and with parental consent.
Who is required to file medication authorization form school?
Parents or guardians of students who need medication during school hours are required to file the medication authorization form.
How to fill out medication authorization form school?
To fill out the medication authorization form, parents or guardians must provide the student's information, details of the medication, dosage, frequency of administration, and obtain the necessary signatures from a healthcare provider and a parent or guardian.
What is the purpose of medication authorization form school?
The purpose of the medication authorization form is to ensure that students receive their medication safely and in accordance with legal and medical guidelines during school hours.
What information must be reported on medication authorization form school?
The form must report the student's name, date of birth, medication name, dosage, administration schedule, potential side effects, and contact information for the parent or guardian and healthcare provider.
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