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HEALTH INFORMATION FORM Student Name (Last, First)___ Parent/Guardian Name ___ Home Phone Number ___ Mobile Number ___ Emergency Contact Person ___ Medications the student is taking ___ ___ Allergies
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How to fill out medications form student is

01
Obtain the medications form from the school or healthcare provider.
02
Fill out the student's personal information including name, date of birth, and student ID number.
03
Provide details of the medication being prescribed such as name, dosage, and frequency.
04
Include any specific instructions from the healthcare provider regarding administration or storage of the medication.
05
Sign and date the form to confirm accuracy and consent.
06
Return the completed medications form to the school nurse or designated staff member.

Who needs medications form student is?

01
Students who require prescription medication during school hours.
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The medications form is a document that students must fill out to provide information about any medications they are taking while enrolled in an educational institution.
Students who are taking medications that may affect their school activities or health must file the medications form.
To fill out the medications form, students should provide their personal details, list all medications they are currently taking, indicate the dosage, and any relevant medical information as required by the institution.
The purpose of the medications form is to ensure that the school is aware of any medications students are taking for health and safety reasons, enabling appropriate accommodations and responses in case of emergencies.
Students must report their name, contact information, names and dosages of medications, prescribing doctor, and any known side effects or allergies.
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