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  • Certification Bformb - Epipen4schools

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CERTIFICATION FORM: (epinephrine injection) AutoInjector EpiPen4Schools Program The school and/or school district identified below (the School) hereby acknowledges and agrees that the .

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Related content

Epinephrine Administration Recommendations...
Bioridge Pharma offers the EpiPen4Schools program created to allow ... four free or Jr...
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The , manufactured by Meridian Medical Technologies, and marketed by Mylan, has dominated the market.

In 2013, President Obama signed the School Access to Emergency Epinephrine Act into law. This federal law encourages states to implement policies requiring schools to stock undesignated epinephrine auto-injectors for use in emergencies.

® or Jr® should only be injected into the middle of your outer thigh (upper leg), through clothing if necessary. Do not inject into your veins, buttocks, fingers, toes, hands or feet. Hold the leg of young children firmly in place before and during injection to prevent injuries.

The ® Jr auto-injector (0.15 mg) is for individuals weighing between 33 and 66 lbs. *This item requires an Rx Form to purchase. Please download one from the RX tab and fax into School Health upon placing your order with us. Call Customer Care at 866-323-5465 with any questions.

Pharmaceutical Company Assistance Programs 3 In some cases, the manufacturers can get you epinephrine for free. To participate in these programs, you'll need to email or call the manufacturers and request help in paying for your prescription, which will usually be delivered to a healthcare provider of your choosing.

To participate in EPIPEN4SCHOOLS, a school nurse or other authorized school representative must visit .EPIPEN4SCHOOLS.COM to download the order and certification form, and then fax or email the form with a valid prescription to 1-973-718-4328 or info@bioridgepharma.com.

Standing Order: All appropriate medical and school personnel (including, but not limited to, any Registered Nurse) employed by or acting on behalf of the school system may administer epinephrine via an undesignated epinephrine auto-injector to an individual using professional judgment if an individual is experiencing a ...

You can't just go to a pharmacy and ask for an . You need to have a prescription for one, and you should fill that prescription long before you have an allergic reaction serious enough to use the . You should have the pen available for when you have an allergic reaction.

Place the orange tip against the middle of the outer thigh (upper leg) at a right angle (perpendicular) to the thigh. Swing and push the auto-injector firmly until it “clicks.” The click signals that the injection has started. Hold firmly in place for 3 seconds (count slowly 1, 2, 3).

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232