Get Medication Authorization Form - Wayne-westland Community Schools - Wwcsd

Filling out the Medication Authorization Form for Wayne-Westland Community Schools is an essential process to ensure that students receive their necessary medications during school hours. This guide provides step-by-step instructions to assist you in completing the form accurately and efficiently.

Follow the steps to fill out the Medication Authorization Form online.

1. Click ‘Get Form’ button to access the Medication Authorization Form and open it in the editor.
2. Enter the student's full name in the designated field labeled 'Student Name.' This is crucial for identifying the recipient of the medication.
3. Input the date of birth (D.O.B.) of the student to ensure proper identification and record-keeping.
4. Select the school that the student attends from the list provided. This helps in processing the form in the respective school's administrative office.
5. Fill in the teacher's name responsible for the student as well as the grade the student is currently in.
6. In the 'To be completed by the physician or authorized prescriber' section, write the name of the medication being prescribed.
7. Optionally, you may include the reason for the medication. This provides additional context to school personnel.
8. Choose the form of medication from the provided options such as tablet, liquid, inhaler, injection, nebulizer, or other. This helps in understanding how the medication will be administered.
9. Specify the dose and the times the medication needs to be administered during school hours.
10. Identify any restrictions and/or important side effects related to the medication if applicable.
11. Note any special storage requirements for the medication, such as if it needs to be refrigerated.
12. Request the physician's name, address, and ensure the physician's stamp is included in the designated section.
13. Provide the physician's contact information including city, state, zip code, and phone number.
14. The physician must date and sign the form to certify the authorization.
15. As a parent or guardian, complete the section acknowledging that your child will receive the medication at school. Include the name of your child, date, your signature, and your relationship to the student.
16. The school office will fill in the date the form was received and the date medication was received when applicable.
17. Once you have completed the form, you can save your changes, download a copy, print it for submission, or share it as necessary.

Complete your Medication Authorization Form online to ensure your child's health needs are met while they are at school.