Get Medication Permission Request Form - Channelview Isd

Filling out the Medication Permission Request Form for Channelview Independent School District is an essential process to ensure your child's medication needs are met during school hours. This guide will provide you with a step-by-step approach to completing the form accurately and efficiently.

Follow the steps to successfully complete the Medication Permission Request Form.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Begin by entering the student’s name, date of birth, and grade in the designated fields at the top of the form.
3. Fill in the school name and address where your child is enrolled, followed by the name of their teacher.
4. In the section for the school nurse, include their name, telephone number, and fax number as required.
5. Next, complete the section for healthcare provider information. Indicate the condition that requires medication, the name of the medication, and the specific times and doses to be administered during school hours.
6. Specify the start and end dates for the medication treatment, ensuring that they align with the prescribed plan.
7. Answer the question regarding any restrictions by checking 'Yes' or 'No', and if applicable, provide details on what the restrictions entail.
8. Have the physician fill in their printed name, signature, phone number, and fax number in the spaces provided.
9. As a parent or guardian, complete the authorization section by signing and dating the agreement to give permission for your child to receive the medication.
10. Fill in your daytime telephone number and print your name for contact purposes.
11. Once all sections are completed, review the form for accuracy and clarity. Save any changes made to the document.
12. Finally, download, print, or share the completed Medication Permission Request Form as needed.

Complete the Medication Permission Request Form online today to ensure your child's health needs are addressed at school.