Get Medication Authorization Form - Prince George County Public Schools

Completing the Medication Authorization Form for Prince George County Public Schools online is a straightforward process designed to ensure that your child's medication needs are met during school hours. This guide provides clear, step-by-step instructions to help you fill out the form accurately and efficiently.

Follow the steps to complete the form online.

1. Click the ‘Get Form’ button to obtain the form and open it in your preferred editing tool.
2. In the parent/guardian section, fill in the student's name and date of birth. Provide any known medication allergies to ensure safety.
3. As the parent or legal guardian, write your full name, followed by your request for the principal’s designee to administer the prescribed medication at your child's school.
4. Specify the name of the school where the administration will take place, ensuring accuracy.
5. Ensure that you grant permission for the principal’s designee to contact the licensed prescriber if needed by acknowledging this in the provided space.
6. Review the regulations specified in the form, acknowledging your understanding of the responsibilities regarding medication administration.
7. Sign and date the form to finalize your authorization, entering your printed name and contact numbers where indicated.
8. In the licensed prescriber section, ensure that the physician, dentist, nurse practitioner, or physician assistant completes the required fields regarding the medication prescribed.
9. The licensed prescriber must include details such as medication name, dosage, time, route of administration, duration, diagnosis requiring medication, possible side effects, and any special handling instructions.
10. Have the prescriber sign and date the form as well, ensuring they provide their printed name and contact information.
11. Once all fields are complete, you can save changes, download, print, or share the form as needed.

Complete your documents online today to ensure your child's medication needs are addressed.