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MURRAY SCHOOL DISTRICT 147 East 5065 South Murray, UT 84107 (801) 264-7400 STUDENT MEDICATION AUTHORIZATION FORM STUDENT INFORMATION: Student Name Date of Birth Grate Parent/Guardian Home Phone Business

How to fill out student medication authorization form

How to fill out a student medication authorization form:

1. Start by carefully reading the instructions provided on the form. Make sure you understand all the requirements and any specific information that needs to be included.
2. Begin by filling out the personal details section of the form. This typically includes the student's full name, date of birth, contact information, and the name and address of their school or educational institution.
3. Next, provide information about the medication that needs to be administered to the student. Include the name of the medication, the dosage, and the frequency of administration. If there are any specific instructions or special considerations for administering the medication, make sure to include those as well.
4. If the student has any known allergies or medical conditions that may affect the administration of the medication, provide this information in the appropriate section of the form. It is crucial to be accurate and thorough in disclosing any relevant medical history.
5. Depending on the requirements of the form, you may need to provide additional information such as the name and contact information of the healthcare provider who prescribed the medication.
6. Review the completed form for accuracy and completeness. Double-check that all fields have been filled out correctly and that you have not missed anything.

Who needs a student medication authorization form:

1. Students who require medication to be administered during school hours or at school-related events typically need a student medication authorization form.
2. This form may be required for students who have chronic medical conditions such as asthma, diabetes, or severe allergies that may require medication administration while at school.
3. Some schools or educational institutions may also require a medication authorization form for students who need to take occasional or short-term medications, such as antibiotics.

Remember that the specific requirements for a student medication authorization form may vary by school or educational institution, so it is important to consult with the appropriate authorities or healthcare provider to ensure compliance with any specific guidelines or regulations.

For pdfFiller’s FAQs

What is student medication authorization form?

The student medication authorization form is a document that grants permission for school staff to administer medication to a student during school hours.

Who is required to file student medication authorization form?

The parents or guardians of the student are required to file the student medication authorization form.

How to fill out student medication authorization form?

The student medication authorization form can be filled out by providing the student's information, details of the medication, dosage instructions, and any other relevant information requested on the form.

What is the purpose of student medication authorization form?

The purpose of the student medication authorization form is to ensure that school staff are aware of the student's medical needs and can provide appropriate care and medication when necessary.

What information must be reported on student medication authorization form?

The student medication authorization form must include the student's name, date of birth, medical condition, medication name, dosage instructions, and emergency contact information.

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