Get the free Medication Permission Slip - Department of Health and Human - connectccrr

West Virginia Department of. Health and Human Resources. Medication Permission Slips. Please give the following medication to my child today: Name of child...

How to fill out medication permission slip

How to fill out a medication permission slip:

1. Obtain the medication permission slip form from the relevant authority, such as your child's school or healthcare provider.
2. Fill in the personal information section of the form, including the student's full name, date of birth, and grade level.
3. Provide the contact information for both the student and their parent or guardian, including phone numbers and email addresses.
4. Indicate the specific medication that needs to be administered, including the medication name, dosage, and frequency.
5. Note any special instructions, such as whether the medication should be taken with food or at a certain time of day.
6. If necessary, include information about any potential side effects or allergies to be aware of.
7. Specify the start and end dates for administering the medication, if applicable.
8. Sign and date the medication permission slip, ensuring that both the parent or guardian and the healthcare provider or school official sign as required.
9. Keep a copy of the completed medication permission slip for your own records.

Who needs a medication permission slip:

1. Students who require medication to be administered during school hours.
2. Individuals of any age who may need medication assistance in a healthcare or residential facility.
3. Athletes or individuals participating in organized sports who may require medication, such as asthma inhalers or EpiPens, while participating in their activities.
4. Campers who need their medication managed by camp staff during their time at camp.
5. Individuals with chronic health conditions or allergies that require routine medication administration, such as diabetes or severe allergies.

Note: The specific requirements for a medication permission slip may vary depending on the institution or organization requesting it. It is important to follow any additional instructions provided and ensure that all necessary information is accurately provided on the form.

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What is medication permission slip?

The medication permission slip is a form that allows a student to take medication during school hours.

Who is required to file medication permission slip?

Any student who needs to take medication during school hours is required to have a medication permission slip on file.

How to fill out medication permission slip?

The medication permission slip must be completed by the student's parent or guardian, including details of the medication, dosage, times to be administered, and any potential side effects.

What is the purpose of medication permission slip?

The purpose of the medication permission slip is to ensure that the school is aware of any medication being taken by the student and to provide proper care in case of emergencies.

What information must be reported on medication permission slip?

The medication permission slip must include the name of the student, the name of the medication, dosage, times to be administered, potential side effects, parent or guardian contact information, and physician information.