Get Medication Authorization Formnew - Escondidocharter

Filling out the Medication Authorization Formnew - Escondidocharter is an important step in ensuring that students receive the medication they need while at school. This guide will provide you with a comprehensive overview of each section of the form, along with clear instructions to help users navigate the process with ease.

Follow the steps to complete the form accurately and efficiently.

1. Press the ‘Get Form’ button to access the Medication Authorization Formnew - Escondidocharter and open it in your document editor.
2. In Part 1, complete the student’s name, birthdate, and grade. Then fill in the parent or legal guardian’s name, including their contact information such as home, cell, and work phone numbers.
3. Acknowledge the request for school personnel to assist with the child's medication by agreeing to the terms outlined in this section. Ensure to provide your signature and the date.
4. Move to Part 2, which must be filled out by the physician or authorized health care provider. They should detail the medication name, dosage, method of administration, and time/frequency of the medication.
5. The physician should provide the diagnosis for which the medication is prescribed, potential side effects, and any special instructions regarding the medication administration.
6. If applicable, indicate whether designated school personnel or the student is trained to self-administer medication, particularly for emergency situations such as asthma or anaphylactic shock.
7. The physician will need to print their name, provide their California license number, office address, and contact number. Finally, they should sign and date the form.
8. Once all sections are completed, review the form for accuracy. You can then save changes, download, print, or share the form as required.

Ensure you have all necessary information and complete your Medication Authorization Formnew - Escondidocharter online today.