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Get the free School Medication Authorization Form (med a)

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This form is required for administering prescribed or over-the-counter medications at school, ensuring compliance with Illinois regulations. Complete for each medication.
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How to fill out school medication authorization form

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How to fill out school medication authorization form

01
Gather necessary information such as student's name, date of birth, medical condition, medication name, dosage, frequency, and administration instructions.
02
Fill out the student information section with accurate details.
03
Provide detailed information about the medication including dosage and administration instructions.
04
Sign and date the form as the parent or guardian of the student.
05
Have the prescribing healthcare provider sign and date the form to authorize the medication.
06
Submit the completed form to the school nurse or designated school staff member.

Who needs school medication authorization form?

01
Any student who requires medication to be administered during school hours needs a school medication authorization form.
02
Parent or guardian of the student must fill out the form to authorize the school to administer medication.
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A school medication authorization form is a document that allows parents or guardians to give permission for school staff to administer medication to a student during school hours.
Parents or guardians of students who need medication during school hours are required to file the school medication authorization form.
To fill out the school medication authorization form, a parent or guardian must provide the student's information, details about the medication, dosage, frequency, and obtain a signature from a licensed healthcare provider.
The purpose of the school medication authorization form is to ensure that medications are administered safely and legally to students in a school setting.
The form must include the student's name, date of birth, medication name, dosage, administration times, duration, and a healthcare provider's signature.
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