Get Prince George County Schools Authorized Use For Inhaler Form

Completing the Prince George County Schools Authorized Use For Inhaler Form is essential for ensuring that students have the proper medical support at school. This guide will walk you through each section of the form to make the process clear and straightforward.

Follow the steps to accurately fill out the inhaler authorization form.

1. Press the ‘Get Form’ button to obtain the form and open it in your editing tool.
2. Fill in the full name of the student in the designated field at the top of the form. This helps identify the individual for whom the authorization is being granted.
3. Enter the school year and name of the school attended by the student. Additionally, indicate the student's grade level clearly.
4. Review the understanding statement regarding the responsibility of supplying necessary equipment and ensuring proper labeling of medications. Acknowledge this by signing in the designated area.
5. In the section for physician completion, the physician will need to provide the name of the medication and its strength. Make sure this information is accurate to avoid administration errors.
6. Describe the reason for medication, including any symptoms that justify its use, such as wheezing or coughing, in the provided space.
7. Complete the type of device used for administration. This ensures that school staff are familiar with the equipment.
8. Provide specific directions for how the medication should be administered. Clarity in this section is important for the safety of the student.
9. Indicate whether the student is capable of self-administering the medication and whether they should carry it with them, selecting 'Yes' or 'No' as appropriate.
10. Fill in the dosage of medication the student should receive, specifying the number of puffs.
11. Specify the time of day when the medication should be administered, being precise about the timing and frequency.
12. Document the date when the medication began and when it is scheduled to be discontinued.
13. List any potential side effects of the medication in the space provided.
14. Once all sections are complete, the physician must sign and date the form, ensuring it includes their printed name, address, and telephone number.
15. Review the form for accuracy and completeness. Save your changes, download, print, or share the document as needed.

Complete this form online today to ensure your child's health needs are met at school.