Get the free School Medication Authorization Form - Damiansville Elementary

School Medication Authorization Form To be completed by the children parent(s)/guardian(s). A new form must be completed every school year to be kept in the school office. Students Name: Birth Date:

How to fill out school medication authorization form

Who needs school medication authorization form?

1. Parents or legal guardians of students who require medication to be administered at school.
2. Students themselves, if they are of legal age to consent to their own medical treatment.
3. School administrators and staff responsible for administering medication to students.

How to fill out school medication authorization form:

1. Start by carefully reading the instructions on the form. Ensure that you understand the purpose of the form and the information required.
2. Provide the student's personal information, such as their name, date of birth, and grade level. Include any additional contact details, like phone numbers, in case of emergencies.
3. Specify the medication details. Include the name of the medication, the dosage, and the frequency of administration (e.g., once daily, as needed). If there are any specific instructions or precautions, make sure to mention them.
4. Indicate the medical condition that requires the medication. Provide a brief description of the condition and any relevant medical history.
5. If the medication needs to be administered by a school staff member, provide clear instructions on how to administer it. Include the time and location of administration, any required equipment (e.g., inhaler, EpiPen), and any additional considerations (e.g., with food).
6. If self-administration is allowed and appropriate for the student, indicate this on the form. Include any necessary guidelines or restrictions.
7. Specify the duration of the authorization. State the start and end dates for administering the medication at school.
8. Sign and date the form. Ensure that all required parties (parents/guardians, student, healthcare provider) have signed the form where necessary.
9. Attach any additional documents or supporting materials, such as a copy of the prescription or any medical notes from the student's healthcare provider.
10. Submit the completed form to the appropriate school personnel. Follow any specific instructions provided, such as submitting it to the school nurse or administrative office.

Note: It is essential to adhere to the school's policies and procedures regarding medication administration. If you have any doubts or questions, reach out to the school administration or healthcare provider for clarification.

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What is school medication authorization form?

The school medication authorization form is a document that allows students to receive medication while at school, with proper permission from a parent or guardian.

Who is required to file school medication authorization form?

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

How to fill out school medication authorization form?

To fill out the school medication authorization form, parents or guardians must provide their contact information, the student's information, the details of the medication to be administered, and any special instructions.

What is the purpose of school medication authorization form?

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

What information must be reported on school medication authorization form?

The school medication authorization form must include the student's name, date of birth, medical condition, name of medication, dosage, frequency of administration, and any special instructions.