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Providence Academy Health Office Middle/Upper School Ibuprofen/Acetaminophen Authorization Form Minnesota state law (statute 121A.222) allows a secondary student to use nonprescription pain relief
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How to fill out middleupper school ibuprofenacetaminophen authorization

How to fill out middleupper school ibuprofenacetaminophen authorization
01
Obtain the appropriate form from the school office or website.
02
Fill out the student's personal information including name, grade, and date of birth.
03
Indicate the specific dosage and frequency of ibuprofen/acetaminophen that the student is authorized to take.
04
Provide any additional instructions or restrictions for the medication.
05
Sign and date the form, ensuring that all information is accurate and complete.
Who needs middleupper school ibuprofenacetaminophen authorization?
01
Students attending middle or upper school who may require ibuprofen or acetaminophen during school hours for pain relief or fever reduction.
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What is middleupper school ibuprofenacetaminophen authorization?
Middle/upper school ibuprofen/acetaminophen authorization is a form required for students to be able to take over-the-counter medications at school.
Who is required to file middleupper school ibuprofenacetaminophen authorization?
Parents or guardians are required to file middle/upper school ibuprofen/acetaminophen authorization for their children.
How to fill out middleupper school ibuprofenacetaminophen authorization?
Middle/upper school ibuprofen/acetaminophen authorization can typically be filled out by providing the student's name, the medications to be administered, any relevant medical information, and the parent or guardian's signature.
What is the purpose of middleupper school ibuprofenacetaminophen authorization?
The purpose of middle/upper school ibuprofen/acetaminophen authorization is to ensure students can receive necessary over-the-counter medications while at school in a safe and regulated manner.
What information must be reported on middleupper school ibuprofenacetaminophen authorization?
Middle/upper school ibuprofen/acetaminophen authorization must include the student's name, the medications to be administered, any relevant medical information, and the parent or guardian's signature.
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