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CONESTOGA VALLEY SCHOOL DISTRICT 2110 HORSESHOE ROAD LANCASTER, PA 17601 PARENTAL REQUEST AND HEALTHCARE PROVIDERS ORDER FOR MEDICATION (For students who require daily or emergency medication) Parents
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How to fill out in school medication formpdf
How to fill out in school medication formpdf
01
Obtain the school medication form from the school office or website.
02
Fill in the student's name, date of birth, grade, and contact information.
03
Specify the medication to be administered, including the name, dosage, and frequency.
04
Provide any special instructions for administering the medication, such as whether it should be taken with food.
05
Sign and date the form as the parent or guardian, acknowledging consent for the medication to be given at school.
06
Ensure that any healthcare provider signatures or prescriptions are included as required.
Who needs in school medication formpdf?
01
Any student who requires medication to be administered during school hours needs to have a school medication form on file.
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What is in school medication formpdf?
The school medication form typically includes sections for student information, medication details, dosage, administration instructions, and parent or guardian consent.
Who is required to file in school medication formpdf?
Parents or guardians of students who require medication during school hours are required to file this form.
How to fill out in school medication formpdf?
To fill out the form, provide the student's name, identify the medication, specify dosages and times for administration, and obtain necessary signatures from a healthcare provider and parent or guardian.
What is the purpose of in school medication formpdf?
The purpose of the form is to ensure that school staff have the necessary information and permission to administer medications safely and effectively to students.
What information must be reported on in school medication formpdf?
The form must report the student's name, date of birth, medication name, dosage, administration schedule, physician's contact information, and parent or guardian's signature.
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