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School District 68 (Nanaimo-Ladysmith) Today s Learner Tomorrow s Future STUDENT MEDICATION FORM Student s Name: Birthdate: Parent/Guardian: Work Phone: Home Phone: Parent/Guardian: Work Phone: Home
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How to fill out student medication form

Who needs student medication form?
01
Students who require medication during school hours.
02
Parents or guardians who need to provide written consent for the administration of medication.
03
School administrators who need accurate and up-to-date information about each student's medication needs.
How to fill out student medication form?
01
Start by obtaining a copy of the student medication form from the school or healthcare provider. It is usually available online or can be requested from the school office.
02
Fill in the student's personal information, including their full name, date of birth, grade, and contact details.
03
Provide details about the medication to be administered. Include the medication name, dosage, frequency, and any specific instructions or precautions.
04
Indicate whether the medication needs to be taken on an as-needed basis or at specific times during the school day.
05
If the student has any allergies or medical conditions that the school should be aware of, make sure to note them on the form.
06
If the medication requires special storage or administration instructions, provide that information on the form as well.
07
Ensure that both the parent or guardian and the prescribing healthcare provider sign and date the form.
08
Return the completed form to the school office or designated personnel responsible for student health records.
09
Review the school's policies and procedures regarding the administration of medication to ensure compliance and to address any additional requirements or documentation needed.
10
Keep a copy of the filled-out form for your records, and update it as necessary if there are any changes or modifications to the student's medication needs.
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What is student medication form?
Student medication form is a document that collects information about the medications a student is taking while at school.
Who is required to file student medication form?
Parents or legal guardians are required to file the student medication form for their child.
How to fill out student medication form?
To fill out the student medication form, parents or legal guardians need to provide details about the student's medications, dosages, and any special instructions.
What is the purpose of student medication form?
The purpose of the student medication form is to ensure that school staff are aware of any medications students are taking and can provide appropriate care.
What information must be reported on student medication form?
The student medication form must include details about the student's medications, dosages, frequency of administration, and any potential side effects.
How can I send student medication form for eSignature?
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