Get Form 536a: Administration Of Prescribed Medication

This guide provides clear instructions on how to correctly fill out the Form 536A: Administration Of Prescribed Medication online. This form is essential for documenting parental requests for administering medication to students during school hours or school-sponsored events.

Follow the steps to accurately complete the form online.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Begin by filling out Section A, which must be completed by the parent or guardian. Provide the student's name (last name, first name), date of birth, home address, postal code, and home phone number. Indicate if the student has a Medic Alert I.D. and provide their student number and health card number.
3. In Section A, continue by filling in the names and contact information for the parents or guardians. Include their home and business phone numbers. Also, add an emergency contact person's name and phone number.
4. Proceed to Section B, which is to be completed by the attending physician. Document the name of the medication, the reason for taking it, and the method of administration, including dosage and time. Include any additional instructions regarding the medication and specify the impact of a missed dose.
5. The physician should print their name, provide their phone number, and sign the form, dating it to ensure documentation is up to date.
6. In Section C, the parent or guardian must provide authorization for the administration of medication. Fill in the relevant details and sign and date the form to confirm your agreement.
7. Finally, Section D must be completed by the principal or their designate. They will indicate who is designated to supervise or administer the medication, any alternates, and where the medication will be stored in the school.
8. Once all sections are complete, ensure to review the information for accuracy. Users can save changes, download, print, or share the form as necessary using the options available in your editor.

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