Get Administration Form 2020-2026

Filling out the Administration Form is essential for ensuring that students receive the appropriate asthma medications at school. This guide provides a detailed, step-by-step approach to help you complete the form accurately and efficiently online.

Follow the steps to fill out the Administration Form

1. Click ‘Get Form’ button to obtain the Administration Form and open it in the editor.
2. Begin by entering the student's personal information, including the last name, first name, middle initial, date of birth, and OSIS number. Provide the name, number, address, and borough of the school the student attends.
3. In the next section, have the student's healthcare practitioner complete the diagnoses, asthma severity, and control status. Be sure to select the correct options for the severity and control of the asthma condition.
4. Fill out the Student Asthma Risk Assessment Questionnaire by checking the appropriate boxes for the different medical history questions. Provide any necessary additional information, particularly regarding recent medical interventions like past hospitalizations or oral steroid treatments.
5. For in-school asthma medications, choose and list the quick relief and controller medications as prescribed by the healthcare practitioner. Include the name, dosage, frequency, and any special instructions related to their administration.
6. Specify whether the student is classified as nurse-dependent, supervised, or independent regarding medication administration. Gather the necessary initials and signatures from the healthcare practitioner confirming the student’s ability to self-administer their medication, if applicable.
7. Document any home medications that the student is taking, ensuring to include over-the-counter medications as well. This is important for the healthcare practitioner’s understanding of the student's overall medication regimen.
8. Obtain the consent of the parent or guardian by having them read and sign the consent section for medication administration. Make sure to gather their printed name, address, multiple contact numbers, and an email address to maintain communication.
9. Once the form is filled out completely, review it for accuracy. Save your changes, and then choose to download, print, or share the completed Administration Form as needed.

Complete the Administration Form online now to ensure your child receives the correct medication promptly.