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This form provides authorization for the administration of non-prescription medications to students within the school setting, including self-administration of asthma medication and epinephrine auto-injectors.
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How to fill out non-prescription medication authorization form
How to fill out non-prescription medication authorization form
01
Begin by obtaining the non-prescription medication authorization form from your healthcare provider or school.
02
Fill in your personal information at the top of the form, including your name, date of birth, and contact information.
03
Provide information about the non-prescription medication, including its name, dosage, and frequency of administration.
04
Indicate the reason for administering the medication, including any relevant health conditions.
05
Have a parent or guardian sign the form, giving their consent for the medication to be administered.
06
If necessary, have a healthcare professional also sign the form to confirm the need for the medication.
07
Submit the completed form to the appropriate authority, such as the school nurse or healthcare provider.
Who needs non-prescription medication authorization form?
01
Individuals who require regular use of non-prescription medications, such as children attending school, athletes in sports programs, or patients in healthcare facilities.
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What is non-prescription medication authorization form?
A non-prescription medication authorization form is a document that allows parents or guardians to provide permission for school staff to administer non-prescription medications to their child during school hours.
Who is required to file non-prescription medication authorization form?
Parents or guardians of students who need to take non-prescription medications while at school are required to file a non-prescription medication authorization form.
How to fill out non-prescription medication authorization form?
To fill out a non-prescription medication authorization form, parents or guardians should provide the student's information, the name of the medication, dosage instructions, times for administration, and any relevant medical history or allergy information, along with their signature.
What is the purpose of non-prescription medication authorization form?
The purpose of the non-prescription medication authorization form is to ensure that school staff have the necessary permission and information to safely administer non-prescription medications to students during school hours.
What information must be reported on non-prescription medication authorization form?
The non-prescription medication authorization form must report the student's full name, grade, name of the medication, dosage, frequency of administration, reason for medication, and the parent's or guardian's signature along with contact information.
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