Get the free In-School Medication Form

SANTEE SCHOOL DISTRICT9619 Cuyamaca Street, Santee, CA 920712674 * (619) 2582300Students NameDOBGradeTeacherPHYSICIANS MEDICATION AUTHORIZATION AND PLAN (PMAP) All students receiving medication at

How to fill out in-school medication form

How to fill out in-school medication form

1. Obtain the in-school medication form from the school office or website.
2. Fill in the student's full name and date of birth at the top of the form.
3. Provide the name of the medication, dosage, and frequency of administration.
4. Indicate the condition for which the medication is prescribed.
5. Include the physician's name, contact information, and signature.
6. Parental consent must be provided by signing the designated area.
7. Attach any additional physician instructions if necessary.
8. Submit the completed form to the school nurse or designated staff.

Who needs in-school medication form?

1. Students who require medication during school hours.
2. Students with chronic health conditions needing consistent medication.
3. Students who need emergency medications like EpiPens or inhalers.
4. Any student whose medication must be administered or supervised at school.

For pdfFiller’s FAQs

How do I edit in-school medication form in Chrome?

Adding the pdfFiller Google Chrome Extension to your web browser will allow you to start editing in-school medication form and other documents right away when you search for them on a Google page. People who use Chrome can use the service to make changes to their files while they are on the Chrome browser. pdfFiller lets you make fillable documents and make changes to existing PDFs from any internet-connected device.

How do I edit in-school medication form on an iOS device?

Use the pdfFiller mobile app to create, edit, and share in-school medication form from your iOS device. Install it from the Apple Store in seconds. You can benefit from a free trial and choose a subscription that suits your needs.

How do I complete in-school medication form on an Android device?

Use the pdfFiller app for Android to finish your in-school medication form. The application lets you do all the things you need to do with documents, like add, edit, and remove text, sign, annotate, and more. There is nothing else you need except your smartphone and an internet connection to do this.

What is in-school medication form?

The in-school medication form is a standardized document used by schools to authorize and document the administration of medication to students during school hours.

Who is required to file in-school medication form?

The in-school medication form must be filed by the parent or guardian of any student who requires medication to be administered during school hours.

How to fill out in-school medication form?

To fill out the in-school medication form, the parent or guardian must provide the student's information, the name of the medication, dosage, administration times, and authorize school personnel to administer the medication.

What is the purpose of in-school medication form?

The purpose of the in-school medication form is to ensure that students receive their prescribed medication safely and appropriately while at school and to keep accurate records of medication administration.

What information must be reported on in-school medication form?

The information that must be reported includes the student's name, medication name, dosage, frequency of administration, the reason for medication, and the parent or guardian's contact information and signature.