Follow the steps to complete the Medication Authorization Form online.

1. Click the ‘Get Form’ button to access the Medication Authorization Form, which will allow you to open it in the online editor.
2. Begin by providing the student's name, sex, school, date of birth, and contact information including phone and fax numbers in the designated fields.
3. Next, the prescribing licensed healthcare provider must complete the section regarding the medication required during school. They need to indicate the diagnosis, name of the medication, route of administration (oral, topical, inhaled, or other), strength, and dosage.
4. Input the frequency of the medication and specify if it is to be given at scheduled times or when needed. If applicable, include how often and when it may be repeated.
5. Determine whether the student is authorized to carry and self-administer the medication by selecting 'Yes' or 'No' for both prescription and over-the-counter medications.
6. List any significant side effects associated with the medication as indicated on the form.
7. The licensed healthcare provider must sign and date the form, along with their printed name, phone number, address, and fax number.
8. Once the healthcare provider section is complete, the parent or legal guardian must provide their signature and date in the designated area. They should also print their name and state their relationship to the student.
9. Complete any additional contact details required for the parent/legal guardian, including home, business, and other phone numbers.
10. After completing all sections, review the information for accuracy. Save your changes, and then you can download, print, or share the completed form as needed.

Ensure the health and safety of your child by completing the Medication Authorization Form online today.