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THE SCHOOL BOARD OF SEMINOLE COUNTY, FLORIDA STUDENT PRESCRIBED MEDICATION AUTHORIZATIONStudent Name ___ DOB___ Grade___ School ___ School Year ___ Please be aware that this medication may be administered
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How to fill out student prescribed medication authorization

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How to fill out student prescribed medication authorization

01
Obtain the student prescribed medication authorization form from the school or healthcare provider.
02
Fill in the student's personal information including name, grade, and date of birth.
03
Provide details of the prescribed medication, including name, dosage, frequency, and administration route.
04
Include the prescribing physician's name and contact information.
05
Ensure the form is signed by the parent or guardian, giving consent for the school to administer the medication.
06
Submit the completed form to the school nurse or designated school official.

Who needs student prescribed medication authorization?

01
Students who require medication during school hours.
02
Students with chronic illnesses, allergies, or other medical conditions that necessitate prescribed medication.
03
Parents or guardians of students needing medication administration must complete this authorization.
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Student prescribed medication authorization is a formal document that grants permission for a student to receive prescribed medications during school hours, ensuring that proper protocols are followed for the safety and health of the student.
The parent or guardian of the student, along with a licensed healthcare provider, is required to file the student prescribed medication authorization.
To fill out the student prescribed medication authorization, a parent or guardian must provide necessary information including the student's name, details of the medication, dosage, administration times, and any other relevant medical instructions, followed by obtaining a signature from the prescribing healthcare provider.
The purpose of student prescribed medication authorization is to ensure that medications are administered safely, effectively, and according to legal and health guidelines while the student is at school.
The information that must be reported includes the student's name, date of birth, the name of the medication, dosage, frequency of administration, possible side effects, and a signature from the healthcare provider.
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