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  • 135a Form

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THE PINE SCHOOL PHYSICIAN AUTHORIZATION FOR STUDENT MEDICATION PART I: PHYSICIAN AUTHORIZATION Must be completed by a Physician/qualified medical provider. Use one form per prescription medication.

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How to fill out the 135a Form online

Filling out the 135a Form online is an important process for parents and guardians to authorize medication for their child while they are at school. This guide will help you navigate the form efficiently.

Follow the steps to complete the 135a Form online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Enter the student's name and birth date accurately in the designated fields.
  3. Provide the date at which you are filling out the form.
  4. List the required prescription medications, entering each medication in a separate section according to the prescribed dosage and schedule.
  5. If applicable, include any over-the-counter medications by following the same format, clearly indicating when they should be administered.
  6. Ensure that the physician's name, signature, and license number are provided.
  7. The parent or guardian must read and acknowledge the permissions and responsibilities outlined in Part 2 of the form.
  8. Finally, the parent or guardian should provide their signature and date, confirming their consent.
  9. Once the form is fully completed, save your changes, then download, print, or share the form as needed.

Complete your documentation online today to ensure a smooth process for your child's medication administration at school.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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