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Peru Central School District SelfMedication Release Form This form is required for all ageappropriate students who are to be approved to carry and selfadminister their own emergency medications (such
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How to fill out student self medication administration

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How to fill out student self medication administration

01
Obtain the necessary forms from the school administration or health office.
02
Have the student and their parent/guardian complete the required information on the form, including the medication name, dosage, and administration instructions.
03
Ensure that the form is signed by both the parent/guardian and the student's healthcare provider.
04
Provide the medication to the school nurse or designated staff member along with the completed form.
05
Review the school's policies and procedures for medication administration to ensure compliance.
06
Educate the student on proper self-medication techniques and safe handling of medication.
07
Monitor the student's self-administration of medication and communicate any concerns to the school nurse or healthcare provider.

Who needs student self medication administration?

01
Students who require regular medication during school hours.
02
Students who are capable of self-administering medication responsibly.
03
Students who have written consent from their parent/guardian and healthcare provider.
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Student self medication administration is a process that allows students to manage and administer their own medication, typically under the guidance of healthcare providers, ensuring they can take necessary medications during school hours.
Students who are prescribed medication and need to take it during school hours, along with their parents or guardians, are required to file a request for student self medication administration.
To fill out student self medication administration, parents or guardians must complete the designated forms provided by the school, including information about the student, the medication, dosage, and instructions for administration.
The purpose of student self medication administration is to empower students with the ability to manage their own health needs, ensuring they can take necessary medications safely and effectively while attending school.
Information that must be reported includes the student's name, medication details (name, dosage, frequency), the reason for the medication, and a signed consent from the parent or guardian.
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