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5330 F1a AUTHORIZATION FOR STUDENT SELF ADMINISTRATION OF MEDICATION SEE FORM 5530 F3-for asthma inhalers SEE FORM 5530 F4a, and F4b for epinephrine auto-injectors To the Parent: THE FOLLOWING INFORMATION
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Student self administration is of personal medication or medical procedures.
Students who need to self-administer medication or medical procedures at school are required to file student self administration forms.
To fill out student self administration forms, students must provide information about their medical condition, medication or procedure, dosage, and any potential side effects.
The purpose of student self administration forms is to ensure that students are able to safely and responsibly administer their own medication or medical procedures while at school.
Information that must be reported on student self administration forms includes the student's name, medical condition, medication or procedure details, dosage, side effects, and emergency contact information.
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