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LICK CREEK CCSD #16
2023 2024 MEDICATION AUTHORIZATION FORM
Students Name ___ Grade ___
I give authorization for Lick Creek CCSD #16 personnel to give the above student the
following medications
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What is 23-24 medication authorization?
23-24 medication authorization is a form that allows individuals to authorize the administration of medication to a child or dependent.
Who is required to file 23-24 medication authorization?
Parents, legal guardians, or individuals responsible for the care of a child or dependent are required to file 23-24 medication authorization.
How to fill out 23-24 medication authorization?
To fill out 23-24 medication authorization, one must provide their personal information, the medication details, dosage instructions, and sign the form to authorize medication administration.
What is the purpose of 23-24 medication authorization?
The purpose of 23-24 medication authorization is to ensure that authorized individuals can administer necessary medication to a child or dependent when needed.
What information must be reported on 23-24 medication authorization?
On 23-24 medication authorization, one must report the name of the medication, dosage, frequency, and any special instructions related to its administration.
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