Get 5325 - Form 1 - Authorization For Medication

Filling out the 5325 - Form 1 - Authorization For Medication is an essential step in ensuring that your child receives the necessary medication at school. This guide provides you with clear, step-by-step instructions to complete the form accurately and efficiently.

Follow the steps to successfully complete the authorization form.

1. Click the ‘Get Form’ button to obtain the form and open it in your preferred online editor.
2. Fill in the student's name and date of birth in the designated fields at the top of the form.
3. Enter the name of the school, grade, and the homeroom teacher's name.
4. Provide the physician’s name and address in the specified sections to ensure proper communication.
5. List the name of the medication being prescribed along with the reason or diagnosis, although this is optional.
6. Select the form of medication/treatment by marking the appropriate box; options include tablet/capsule, liquid, inhaler, injection, nebulizer, or other.
7. Indicate the dosage and the time the medication should be administered. Circle whether it is to be given daily, temporarily, or as needed.
8. If the medication is 'as needed', describe the specific indications for its usage.
9. Outline any restrictions or important side effects that school personnel should be aware of.
10. Complete the authorization section by checking the appropriate boxes for assistance by school personnel or self-administration, as applicable.
11. Have the parent or guardian sign and date the form to provide their consent for medication administration.
12. Obtain the physician's signature and date to validate the medical authorization.
13. Once all sections are completed, save the form to your device, and you may choose to download or print it for your records or submission.

Complete the 5325 - Form 1 - Authorization For Medication online today to ensure your child's health needs are met at school.