Get the free Ithaca School District Medication Administration Form

Samantha Wilson, District NurseIthaca School District Medication Administration Form Phone (608) 5852311 Ext 3072023/2024 School YearFax (608) 5852505Students Name: ___ Birth date: ___ Daily Medication

How to fill out ithaca school district medication

How to fill out ithaca school district medication

1. Obtain the Ithaca School District medication form from the school’s website or office.
2. Fill in the student’s personal information, including name, grade, and date of birth.
3. Provide the name of the medication, dosage, and administration times.
4. Include any specific instructions regarding the medication.
5. Have a parent or guardian sign the form to authorize the medication administration.
6. Obtain a healthcare provider's signature, confirming the need for the medication.
7. Submit the completed form to the school nurse or designated personnel.

Who needs ithaca school district medication?

1. Students who require medication during school hours for chronic health conditions or temporary illnesses.
2. Students with allergies, asthma, or other medical conditions that need monitoring and medication administration.
3. Any student with a prescription from a healthcare provider that requires supervision during school.

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What is ithaca school district medication?

Ithaca School District medication refers to the policies and forms related to administering medication to students within the district. This includes prescription and over-the-counter medications that students may need to take during school hours.

Who is required to file ithaca school district medication?

Parents or guardians of students requiring medication during school hours are typically required to file ithaca school district medication forms.

How to fill out ithaca school district medication?

To fill out the ithaca school district medication form, you'll need to provide information such as the student's name, the medication's name, dosage, administration schedule, and any necessary physician's instructions. All sections should be completed accurately and signed by a parent or guardian.

What is the purpose of ithaca school district medication?

The purpose of ithaca school district medication is to ensure that students who require medication during school hours can receive it safely and effectively, while adhering to district regulations and maintaining the student's health.

What information must be reported on ithaca school district medication?

The information that must be reported on ithaca school district medication forms typically includes the student's name, date of birth, medication name, dosage, administration route, purpose of the medication, physician's contact information, and parent/guardian signature.