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ATTACH Individual Student Medication Record Student Name: School Year: D.O.B. / / Teacher: Physician: Phone#: Parent: Phone#: Medication: Dose: Route: Time: Additional Comments: 1 2 3 4 5 6 7 8 9
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How to fill out individual student medication record

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How to fill out individual student medication record:

01
Obtain the necessary form: Begin by obtaining the individual student medication record form from the appropriate school or educational institution. This form may be available online or through the school's administration office.
02
Fill in the student's personal information: Start by providing the required personal information of the student. This typically includes the student's full name, date of birth, address, contact information, and any relevant identification numbers.
03
Specify medical conditions and allergies: Indicate any known medical conditions or allergies that the student may have. This information is crucial for ensuring that the appropriate medications are administered and that any potential allergic reactions are avoided.
04
Include details about medications: List all medications that the student requires during school hours. Provide details such as the medication name, dosage instructions, and the time(s) when it should be administered. It is important to be accurate and clear to avoid any potential confusion or errors.
05
Provide emergency contact information: Include the contact details of the student's parent or guardian who should be notified in case of an emergency. This ensures that the school staff can quickly reach out to the appropriate person when necessary.
06
Obtain necessary signatures: At the end of the form, there may be sections where the student's parent or guardian needs to sign to acknowledge the information provided. Make sure to read and understand any consent or authorization statements before signing.

Who needs an individual student medication record?

01
Students with medical conditions: Students who have specific medical conditions, such as asthma, diabetes, or severe allergies, require an individual student medication record. This record helps the school staff understand the student's medical needs and ensures that medications are administered correctly.
02
Students with regular medication requirements: If a student requires routine medication during school hours, an individual student medication record is necessary. This enables the school to maintain accurate records and ensure the student receives their medication as prescribed.
03
Students with allergies or special dietary needs: In cases where a student has allergies or specific dietary needs, an individual student medication record helps school staff identify and address these requirements. This ensures that the student's safety is prioritized and prevents any potential allergic reactions or dietary issues.
Overall, an individual student medication record is necessary for students who have specific medical conditions, require regular medication, or have allergies or special dietary needs.
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Individual student medication record is a document that contains information about the medication prescribed to a specific student, including dosage, frequency, and any special instructions.
School nurses or designated school personnel are typically required to file individual student medication records.
Individual student medication records are typically filled out by healthcare providers, who provide information on the prescribed medication and any relevant instructions.
The purpose of individual student medication records is to ensure that school staff are aware of and can properly administer medications to students as needed.
Information such as the student's name, date of birth, medication name, dosage, administration instructions, and emergency contact information must be reported on individual student medication records.
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