Get Medication Authorization Form - Traverse City Area Public Schools

This guide provides comprehensive instructions for completing the Medication Authorization Form for Traverse City Area Public Schools online. Follow the steps to ensure that all required information is filled out accurately to facilitate medication administration for your child.

Follow the steps to complete the Medication Authorization Form.

1. Press the ‘Get Form’ button to retrieve the Medication Authorization Form and open it in your chosen editor.
2. Begin by filling out the student’s information in the designated fields. This includes the name of the student, their birth date, school, and grade level.
3. In Section I, ensure that a physician or licensed health care provider completes all medication-related details. Include the diagnosis or purpose for the medication if applicable, the name of the medication, dosage, frequency, time of administration, route of administration, and start and stop dates. Note any specific instructions, adverse reactions, or storage requirements.
4. Require the physician to sign and date the authorization. They must also print or stamp their name, provide their phone number, and fill in their address.
5. In Section II, as a parent or guardian, you need to confirm that medications and supplies will be brought to school, labeled properly, and agree to the responsibilities outlined, including notifying the school district in case of prescription changes.
6. Sign and date the form as the parent or guardian, confirming your agreement with the statements provided in Section II.
7. Section III must be completed if self-administration of medication is required. Indicate if it’s emergency medication, and ensure that both the parent/guardian and the student sign and date this section, affirming the student's responsibility in managing their medication.
8. After completing all necessary sections, review the form for accuracy. You can then save any changes, download the completed form, print it, or share it as needed.

Complete the Medication Authorization Form online now to ensure your child's medication needs are met.