Get the free School Medication Authorization Form - Mid-Valley Special Education - mvse

Midvale Special Education Cooperative 7:270E Students School Medication Authorization Form To be completed by the children parent(s)/guardian(s). A new form must be completed every school year. Keep

How to fill out school medication authorization form

How to fill out a school medication authorization form:

1. Obtain the form from the school: Contact the school's administration or the school nurse to request a copy of the school medication authorization form. They will provide you with the necessary documents or direct you to where you can find them.
2. Fill out the student's information: Fill in the student's full name, date of birth, grade level, and any other required personal information. This will help identify the student and ensure accuracy.
3. Provide information about the medication: Indicate the name of the medication, its purpose, and the dosage. Include specific instructions on how the medication should be administered, whether it needs to be taken with food or not, and any potential side effects.
4. Specify the times and duration for medication administration: Clearly state the specific times and frequency at which the medication needs to be administered. For example, indicate whether it should be taken before school, during lunchtime, or after school. Also, clarify the duration for which the medication needs to be given (e.g., for the entire school year or a specific period).
5. Include contact information of the prescribing physician: Provide the name, phone number, and address of the healthcare professional who prescribed the medication. This will enable the school to communicate with them if necessary or verify any information.
6. Sign and date the form: Ensure that both the parent/guardian and the prescribing healthcare professional sign and date the form. This will serve as proof of consent and acknowledgment.

Who needs a school medication authorization form?

1. Students requiring medication during school hours: Any student who requires medication to be administered during school hours, whether prescribed or over-the-counter, will need a school medication authorization form. This includes medications for chronic conditions, allergies, ADHD, asthma, or any other medical needs.
2. Parent(s) or guardian(s): It is essential for the parent(s) or guardian(s) of the student to fill out and sign the school medication authorization form. They are responsible for providing accurate information about the medication, dosage, and any specific instructions.
3. Healthcare professionals: The prescribing physician or healthcare professional who oversees the student's medical condition and medication should also be involved in completing and signing the form. They may need to provide additional information or clarify any concerns regarding the medication.
4. School nurses or administration: School nurses or designated personnel who administer medication within the school setting need the authorization form to ensure they are following the correct procedures and guidelines. The form helps them accurately track and administer the required medication to the student.

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What is school medication authorization form?

The school medication authorization form is a document that allows students to take medication during school hours.

Who is required to file school medication authorization form?

Parents or guardians of students who require medication during school hours are required to file the school medication authorization form.

How to fill out school medication authorization form?

The school medication authorization form can be filled out by providing information about the student, medication details, dosage instructions, and emergency contact information.

What is the purpose of school medication authorization form?

The purpose of the school medication authorization form is to ensure that students receive their necessary medication while at school in a safe and organized manner.

What information must be reported on school medication authorization form?

The school medication authorization form must include information such as student's name, medication name, dosage, administration instructions, and emergency contact information.