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CLOVIS UNIFIED SCHOOL DISTRICT HEALTH SERVICES Revised 1/23 School Site Name/Address, Phone: (559) ___ and Fax: (559) ___AUTHORIZATION FOR MEDICATION ADMINISTRATION AT Schoolmate of StudentDate of

How to fill out medication at school rtf

How to fill out medication at school form

1. Obtain a copy of the medication form from the school nurse or front office.
2. Fill out the student's information including name, date of birth, grade, and contact information.
3. Provide details of the medication such as name, dosage, frequency, and any special instructions.
4. Indicate the reason for the medication and any known allergies or medical conditions.
5. Sign and date the form, and make sure to include any required signatures from healthcare providers.
6. Return the completed form to the school nurse or designated staff member responsible for medication administration.

Who needs medication at school form?

1. Any student who requires medication to be administered during school hours needs to fill out a medication at school form.

What is Medication at School (.rtf) Form?

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Instructions for the Medication at School (.rtf) form

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What is medication at school form?

The medication at school form is a document that allows parents or guardians to officially request and authorize the administration of medication to a student during school hours.

Who is required to file medication at school form?

Parents or guardians of a student who needs to take medication during school hours are required to file the medication at school form.

How to fill out medication at school form?

To fill out the medication at school form, parents should provide the student's personal information, details of the medication, dosage, administration times, and any special instructions, along with a parent or guardian's signature.

What is the purpose of medication at school form?

The purpose of the medication at school form is to ensure that school staff have the necessary information and authorization to administer medication safely and effectively to students during school hours.

What information must be reported on medication at school form?

The information that must be reported on the medication at school form includes the student's name, date of birth, medication name, dosage, administration schedule, and the parent or guardian's contact information.