School Medication Authorization Form 2023-2024

To submit the medication authorization form, ensure all fields are accurately filled out. You can send the completed form via email to the school's health office or fax it to the provided number. Alternatively, a printed copy can be delivered in person to the school's administration office. Always keep a copy of the submitted form for your records.

Important dates for the 2023-2024 school year include the start date for medication submissions and the due date for forms which typically align with the first week of school.

The primary purpose of the School Medication Authorization Form is to ensure that students who require medication during school hours can receive their doses safely and according to guidelines. This form facilitates communication between parents, healthcare providers, and school officials to uphold a child's health needs. It is a binding document that not only grants permission for medication administration but also outlines procedures for self-administration when applicable.

• 1. Student Name: The full name of the student requiring medication.
• 2. Birthdate: The date of birth of the student.
• 3. Sex: The gender of the student.
• 4. School: The name of the school the student attends.
• 5. Medication Details: Information about medications including diagnosis, dosage, instructions, and side effects.
• 6. Parent/Guardian Authorization: Signature and contact information of the parent or guardian authorizing medication.
• 7. Physician's Order: Required instructions from the physician for prescription and/or over-the-counter medications.

Failing to submit this form can lead to students not receiving necessary medications while at school, potentially affecting their health and academic performance. It is crucial for parents to complete and submit this form timely to avoid any complications. In the absence of this documentation, school staff cannot administer medications.

• Incomplete Medication Administration: Students may not receive their medications as needed.
• Health Risks: Potential health risks for students who rely on their medications.
• Liability Issues: School district may face liability issues without proper authorization.

• 1. Chronic Health Conditions: Students with ongoing health conditions requiring medication during school.
• 2. Temporary Illnesses: Students needing medication for short-term conditions like infections or pain.
• 3. Self-Administration Authorization: Students authorized to carry their own medications, like Epi-Pens or inhalers.