Get Departent Of Education Request To Store And Administer Emergency Rescue Medications Or Daily

Filling out the Department of Education Request to Store and Administer Emergency Rescue Medications or Daily form is an essential process for ensuring that students receive necessary medication during school. This guide provides step-by-step instructions to help users navigate the form with ease and confidence.

Follow the steps to successfully complete the medication request form.

1. Press the ‘Get Form’ button to access the document and open it in the online editor.
2. Begin by filling in the student's details at the top of the form. Include their name and birthdate, as well as the school or district they attend, their teacher's name, and grade or track.
3. In the 'Parent/Guardian Request for the Administration of Medication' section, acknowledge the California Education Code section that allows school personnel to assist with medication. You will need to indicate your understanding of the provision of medication and agree to notify the school of any changes by signing and dating the section.
4. Provide contact information for a parent or guardian, including work and home telephone numbers, ensuring they are accurate and up to date.
5. In the 'Authorized Health Care Provider Request for Administration of Medication' section, the healthcare provider should detail the reason for the medication, specific medication name, dosage, route of administration, and timing. Ensure to clarify if the medication is required as needed (PRN) and if so, outline the maximum dosages.
6. Document any possible reactions to the medication and include instructions for emergency care that may be necessary.
7. The authorized healthcare provider must sign the request and provide their name in print along with their office stamp and telephone number. Ensure the date of the request is also filled out.
8. Finally, review the form thoroughly for any missing information, ensure signatures are obtained, and check that it is legible. Once satisfied, save any changes made, and opt to download, print, or share the form as required.

Complete your medication request form online to ensure your child receives the necessary support during school hours.