Get Medication Authorization Form - Frederick County Public Schools - Apps Fcps

Completing the Medication Authorization Form is essential for ensuring that medication is administered to students efficiently and safely at Frederick County Public Schools. This guide provides step-by-step instructions to assist you in filling out the form accurately and thoroughly.

Follow the steps to complete the form online.

1. Click the ‘Get Form’ button to access the Medication Authorization Form. This will allow you to open the form in an online editor.
2. Begin with the section titled 'For completion by parent/guardian.' Fill in the name of the student, school year, name of the school, grade, and any known allergies.
3. Proceed to the section labeled 'For completion by physician.' Here, the physician must provide the name of the medication, indicate if this is a new medication, and specify the duration of the medication order including a start date and stop date.
4. In the same section, the physician should explain the reason for the medication and the route of administration. If the medication is to be administered using an inhaler or mechanical device, complete the corresponding details provided in that section.
5. Next, the physician needs to specify the dosage of the medication and indicate when the medication is to be given. Additionally, they should list any possible side effects associated with the medication.
6. If applicable, complete the medication by inhaler or mechanical device section by providing the type of device, specific directions for use, and answer whether the student is capable of self-administering the medication.
7. The principal or their designee must complete the section titled 'To be completed by the principal/designee' which requires their name, position, and signature, confirming the authorization.
8. Finally, ensure the signature section is completed, which requires the physician's signature, printed name, date, and the parent/guardian’s signature, printed name, date, along with the physician’s address and telephone number.
9. After filling out all sections, save your changes. You may download, print, or share the completed form as needed.

Take action now and complete the Medication Authorization Form online to ensure your child's medication needs are met promptly.