Get the free Student Medication Administration Agreement

This document is a formal agreement for parents or guardians to request the administration of medication to their child during the school year, as per the Denver Public Schools\' policies and procedures.

How to fill out student medication administration agreement

How to fill out student medication administration agreement

1. Gather all necessary information about the student, including their name, date of birth, and grade.
2. Obtain a physician's order for the medication, including dosage and frequency.
3. Fill in the medication details, specifying the name of the medication, dosage, route of administration, and timing.
4. Include information about any potential side effects or adverse reactions to be aware of.
5. Provide emergency contact information for the parent or guardian.
6. Ensure that the agreement is signed by both the parent/guardian and the school nurse or designated personnel.
7. Keep a copy of the agreement at the school and provide one to the parent or guardian.

Who needs student medication administration agreement?

1. Students who require medication during school hours.
2. Parents or guardians of students needing administration of medication.
3. School staff responsible for the administration of medication.

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What is student medication administration agreement?

A student medication administration agreement is a formal document that allows designated school staff to administer prescribed medications to students during school hours or school-sponsored events.

Who is required to file student medication administration agreement?

Parents or guardians of students who require medication during school hours are typically required to file a student medication administration agreement.

How to fill out student medication administration agreement?

To fill out a student medication administration agreement, parents or guardians must provide information about the student's medication, including dosage, frequency, and the condition being treated, alongside signatures from both the parent and the prescribing physician.

What is the purpose of student medication administration agreement?

The purpose of the student medication administration agreement is to ensure that students receive their necessary medications safely and effectively while at school, adhering to legal and healthcare guidelines.

What information must be reported on student medication administration agreement?

The information that must be reported includes the student's name, medication name, dosage, route of administration, frequency, purpose of medication, potential side effects, and signatures from the parent or guardian and medical provider.