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CANTON AREA SCHOOL DISTRICT WARRIOR PRIDE . ADMINISTRATIVE OFFICES 509 East Main Street Canton, PA 17724 Ph: (570) 6733191 Fax: (570) 6733680CANTON AREA ELEMENTARY SCHOOL 545 East Main Street, Canton,
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How to fill out medication-authorization-form
How to fill out medication-authorization-form
01
Obtain a copy of the medication authorization form from the relevant healthcare provider or institution.
02
Fill in the patient's personal information, including full name, date of birth, and contact information.
03
Provide details about the medication, including the name, dosage, and administration route.
04
Include the duration for which the medication is prescribed.
05
Highlight any known allergies or medical conditions the patient has.
06
Obtain a signature from the prescribing physician or healthcare provider.
07
Sign the form as the parent or guardian if the patient is a minor.
08
Submit the completed form to the designated authority, such as a school nurse or healthcare facility.
Who needs medication-authorization-form?
01
Parents or guardians of children who require medication during school hours.
02
Patients receiving ongoing medical treatment that necessitates medication during specific activities, such as daycare or camps.
03
Individuals enrolled in programs or activities that require medication management, such as sports teams or group homes.
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What is medication-authorization-form?
The medication-authorization-form is a document that allows parents or guardians to provide written permission for a school or childcare facility to administer medication to their child.
Who is required to file medication-authorization-form?
Parents or guardians of students who need medication administered during school hours or at a childcare facility are required to file the medication-authorization-form.
How to fill out medication-authorization-form?
To fill out the medication-authorization-form, provide the child's name, the name of the medication, dosage, administration times, health care provider's information, and any special instructions.
What is the purpose of medication-authorization-form?
The purpose of the medication-authorization-form is to ensure that school or childcare staff have the necessary permission and information to administer medication safely and correctly to a child.
What information must be reported on medication-authorization-form?
The medication-authorization-form must include the child's details, medication name, dosage, administration route, frequency, start and end dates, potential side effects, and authorization signatures from parents or guardians.
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