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School Medication Authorization Physician Form Student Name:___ DOB___ Address:___Phone:___ School: Lewiston School DistrictGrade___ Teacher___To be completed by Physician:Name of Medication:___ Dose___Frequency___Diagnosis___
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How to fill out school medication authorization physician

01
Obtain the school medication authorization form from the school or school nurse.
02
Fill out the student's information such as name, date of birth, and grade.
03
Provide details of the medication to be administered including the name, dosage, and frequency.
04
Have the physician complete the form by providing their name, contact information, and signature.
05
Make sure to review the completed form for accuracy before submitting it to the school.

Who needs school medication authorization physician?

01
Any student who requires medication to be administered during school hours needs a school medication authorization form filled out by a physician.
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A school medication authorization physician is a licensed medical professional who provides written authorization for a student to receive medication during school hours.
Typically, parents or guardians of students who need medication during school hours are required to file the school medication authorization form signed by a licensed physician.
To fill out the school medication authorization form, the physician must provide details such as the student's name, medication name, dosage, administration times, and any relevant medical conditions.
The purpose of the school medication authorization physician is to ensure that students who need medication can receive it safely and legally while at school.
The information that must be reported includes the student's name, medication details (name, dosage, frequency), the physician's signature, and any specific instructions or contraindications.
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