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  • Medication Form - St. Tammany Parish School Board - Stpsb

Get Medication Form - St. Tammany Parish School Board - Stpsb

St. Tammany Parish School Board School Nurse Program COVINGTON ANNEX STUDENT HEALTH SERVICES 898-3375 646-4913 * FAX 898-3377 * FAX 646-4944 Dear Parent/Guardian: In accordance with LA R.S. 17:436.1,.

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How to fill out the Medication Form - St. Tammany Parish School Board - Stpsb online

This guide provides clear and concise instructions for completing the Medication Form required by the St. Tammany Parish School Board. It is designed to assist you in navigating each section of the form effectively, ensuring all necessary information is included for the safe administration of medication at school.

Follow the steps to fill out the Medication Form online

  1. Press the ‘Get Form’ button to access the Medication Form and open it in your editor of choice.
  2. In the 'Name of Student' field, enter the full name of the student requiring medication.
  3. In the 'D.O.B.' field, input the date of birth of the student.
  4. Fill out the 'School' field with the name of the school the student attends.
  5. Indicate the student's 'Grade' in the provided section.
  6. Write the name of the 'Teacher' in charge of the student.
  7. In the 'Name of Parent/Guardian' section, fill in your full name.
  8. Provide your 'Home Phone', 'Work Number', and 'Cell Number' in the designated fields.
  9. For the permission to administer medication, select 'YES' or 'NO' as appropriate.
  10. Confirm you have administered the initial dose at home by selecting the appropriate response.
  11. Indicate whether your child has permission to self-administer their inhaler/emergency medication.
  12. Select 'YES' or 'NO' regarding your responsibility for your child’s self-management of medication.
  13. Specify any restrictions on the release of medical information if applicable.
  14. Acknowledge the responsibility of bringing medication to school via a responsible adult.
  15. In the 'Diagnosis' and 'Desired Effect' sections, provide required information regarding the student’s condition.
  16. List the 'Medication', 'Dosage', and the anticipated 'Discontinue Date' clearly.
  17. Document potential side effects and any other medications the student is taking outside of school.
  18. Complete the physician's section, including their name, signature, and contact information.
  19. Finally, review the entire form for accuracy, then save changes, download, print, or share the form as needed.

Complete the Medication Form online to ensure timely and safe medication administration for your child.

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