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Gibraltar Area School District
Medication Authorization Form 20232024
_________Student First & Last NameD ate of BirthGrade×Note: Any change in medication will require a new nonprescription Medication
1.___
Name
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How to fill out medication administration at school
How to fill out medication administration at school
01
Obtain medication authorization form from the school
02
Ensure the medication is in its original container with the prescription label attached
03
Fill out the medication administration log with the student's name, medication name, dosage, and time to be administered
04
Have a trained staff member administer the medication at the specified time
05
Document the administration of the medication on the log
Who needs medication administration at school?
01
Students who require medication during school hours due to medical conditions such as asthma, allergies, diabetes, or other chronic illnesses
02
Students who need to take medication that cannot be administered outside of school hours
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What is medication administration at school?
Medication administration at school is the process of giving students prescribed medication during school hours.
Who is required to file medication administration at school?
Parents or guardians are required to file medication administration forms at school for their children.
How to fill out medication administration at school?
Parents or guardians need to complete the medication administration form provided by the school, include all necessary information about the medication and dosage, and ensure it is signed by a healthcare provider.
What is the purpose of medication administration at school?
The purpose of medication administration at school is to ensure that students receive the necessary medication in a safe and timely manner during school hours.
What information must be reported on medication administration at school?
The medication name, dosage, administration instructions, potential side effects, and emergency contact information must be reported on medication administration forms at school.
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