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  • Medication Administration Release Form - Ensworth School

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MEDICATION RELEASE FOR ASSISTED SELF-ADMINISTRATION OF PRESCRIPTION, EMERGENCY, AND NON-PRESCRIPTION MEDICATION AND MEDICAL PROCEDURES This form must be on file in order for a student to receive medication.

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How to fill out the Medication Administration Release Form - Ensworth School online

Filling out the Medication Administration Release Form is essential for ensuring that students can safely receive medication during school hours. This guide provides a clear, step-by-step approach to help you complete the form accurately and efficiently.

Follow the steps to fill out the Medication Administration Release Form online.

  1. Press the ‘Get Form’ button to access the Medication Administration Release Form and open it for completion.
  2. Begin by entering the student's name, age, and grade in the designated fields. This information is crucial for identifying the student associated with the medication.
  3. For non-prescription medication, check the items your child is permitted to be given at school. Specify the strength and time for administration. If the medication is not listed, it must be brought to the school in a marked container by a parent.
  4. If your child requires prescription medication, fill in the medication details, including the dose, time for administration, and the discontinuation date, if applicable.
  5. Include any medical procedures ordered by a physician, listing the specific procedure and its required time and frequency.
  6. Detail any instructions relevant to the administration of medication, such as equipment needed, dietary considerations, or any restrictions.
  7. Obtain the physician's signature, date, and contact information. This section ensures that the medical professional is aware of and supports the medication plan.
  8. Finally, sign and date the form as a parent or guardian, and provide an emergency phone number for any urgent situations.
  9. Once you have completed all fields, save your changes. You can then download, print, or share the form as necessary.

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

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Ensworth is a kindergarten through twelfth grade, coeducational independent school. The School promotes academic excellence and inspires students to be intellectually curious, to use their talents to the fullest, to be people of integrity, and to be contributors to society.

2024–2025 School Year TuitionAncillary Tuition* Lower School (Grades K-5) $28,080 $2,230 Middle School (Grades 6-8) $32,990 $3,890 High School (Grades 9-12) $35,790 $4,450

1,202 Ensworth Red Gables Campus (Lower & Middle Schools) / Number of students

1,202 Ensworth Red Gables Campus (Lower & Middle Schools) / Number of students

Ensworth School | Private, Independent, Co-Ed, K-12 School in Nashville, TN.

Ensworth offers many programs beyond its academic offerings including Aquatics, the School of Dance, the Tennis Center, the Golf Center, sports camps and clinics, sports leagues, and summer camps.

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