Get Medication Authorization Form - Murray School District

The Medication Authorization Form is an essential document for ensuring students receive the correct medications while at school. This guide provides clear, step-by-step instructions on completing the form online, ensuring safety and compliance with school policies.

Follow the steps to complete the Medication Authorization Form smoothly.

1. Use the ‘Get Form’ button to access the Medication Authorization Form and open it in your browser.
2. Begin by filling out the student information section. Include the student's name, date of birth, and grade in the respective fields to accurately identify the individual requiring medication.
3. Next, complete the parent/guardian information section. Provide the name of the parent or guardian, along with their home and work phone numbers for reliable communication.
4. Fill in the home address of the student, as well as the city, state, and zip code. This information is critical for maintaining accurate records.
5. In the physician section, enter the name and office phone number of the doctor prescribing the medication. This ensures that school personnel can contact the physician if any questions or concerns arise.
6. Complete the physician’s business address along with the city, state, and zip code to provide full contact details for medical follow-up.
7. Proceed to the medication section. Clearly enter the name of the medication, the prescribed dosage, and the times when the medication should be administered.
8. Discuss potential side effects in the designated field. Note any side effects that the student may experience and outline procedures to follow in the event of a reaction.
9. Ensure the form is signed by the prescribing physician along with the date to validate the authorization of medication administration.
10. Finally, the parent or guardian must sign the form to provide consent for school personnel to administer the medication as specified. Include the date beside the signature.
11. After completing all sections, save the changes. You can opt to download, print, or share the form as needed for submission.

Complete your documents online today to ensure a smooth medication administration process at school.