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Get the free Medication Permission Forms - Westfield Intermediate School

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SCHOOL DISTRICT OF WESTFIELD Medication Administration Request/Consent Form Student Name: ___ School: WES OES CES WMS WHSDOB: ___Grade: ___Name of Medicine: ___ Form of Medicine: Tablet/Capsule Liquid
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How to fill out medication permission forms

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How to fill out medication permission forms

01
Obtain the medication permission form from the relevant authority (school, camp, etc.).
02
Fill in the student's personal information, including their name, date of birth, and class or group.
03
Provide details about the medication, including the name, dosage, and frequency of administration.
04
Include any specific instructions for the administration of the medication, such as whether it should be taken with food.
05
Indicate any known allergies or contraindications related to the medication.
06
Sign and date the form, indicating your consent for the medication to be administered.
07
If required, have a healthcare professional sign the form to validate the information provided.
08
Submit the completed form to the designated authority or individual responsible for medication administration.

Who needs medication permission forms?

01
Students who require medication during school hours.
02
Children attending camps or extracurricular activities who need to take prescribed medications.
03
Individuals with chronic health conditions that require regular medication during their time away from home.
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Medication permission forms are documents that allow individuals to authorize the administration of specific medications to themselves or their dependents, typically in a school or care setting.
Parents or guardians of students, or individuals themselves, if they are requesting medication administration at schools, camps, or similar organizations.
To fill out medication permission forms, provide required information such as the individual's details, medication name, dosage, administration times, and parent or guardian's signature.
The purpose of medication permission forms is to ensure safe administration of medications as per parental consent while complying with legal and health guidelines.
Information that must be reported includes the name of the individual receiving medication, medication details, dosage, administration frequency, and contact information of the parent or guardian.
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