Get Medication Order Form

Completing the Medication Order Form online is a straightforward process that helps ensure proper medication management for students. By following the steps outlined below, you can efficiently fill out the necessary information required by the school.

Follow the steps to complete the Medication Order Form.

1. Click ‘Get Form’ button to access the Medication Order Form and open it in your preferred editing tool.
2. In section A, provide the student’s name, date of birth, address, sex, grade, pertinent medical conditions, and allergies. This information is essential for the school staff to know the student’s health background.
3. List the name of the licensed prescriber, their title, and telephone number. This contact is important for any necessary follow-up regarding the medication.
4. Fill in the date of the order to indicate when the medication order was established.
5. Now, move to section B, which must be completed by the licensed prescriber. Enter the name of the medication, dosage, frequency, and time(s) of administration clearly.
6. Provide any specific directions or additional information regarding the administration of the medication to ensure clarity for the school nurse.
7. Include any other medications the student is currently taking to avoid any potential interactions.
8. Indicate consent for self-administration of inhalers by selecting either 'YES' or 'NO', based on the prescriber's recommendation.
9. Obtain the required signatures from the licensed prescriber and the parent/guardian, along with the respective dates, to validate the medication order.
10. Finally, review all entered information for accuracy. Once confirmed, save your changes, and download, print, or share the completed form as needed. Ensure to return it to the appropriate school nurse.

Complete your Medication Order Form online today to ensure timely medication administration for your student.