Get Gnag Medication Administration Request Form

Completing the GNAG Medication Administration Request Form online is an essential step in ensuring that medication is administered safely and effectively during participation in programs or camps. This guide provides step-by-step instructions to help navigate the form with ease.

Follow the steps to complete the form accurately and efficiently.

1. Press the ‘Get Form’ button to access the GNAG Medication Administration Request Form and open it for completion. This allows you to review and fill out the necessary information electronically.
2. In the first section, fill in the participant’s name clearly as it appears on official documentation.
3. Enter the participant's date of birth using the format MM/DD/YYYY.
4. Provide the name of the medication as shown on its label, ensuring to specify whether it is a prescription (P) or non-prescription (NP) medication.
5. List any possible side effects associated with the medication, if applicable.
6. Detail the administration schedule, specifying the times the medication needs to be given.
7. Indicate the correct dosage of the medication to be administered.
8. Provide any storage instructions for the medication, ensuring to note any specific needs.
9. Include special instructions for taking the medication, such as whether it should be taken with meals or with plenty of water.
10. Review the terms and conditions carefully, confirming understanding of the responsibilities of GNAG staff regarding medication administration.
11. Authorize GNAG to either administer medication or supervise the participant in administering their medication by checking the appropriate box.
12. Sign the form, ensuring to include the name of the participant or their parent/legal guardian if the participant is under the age of 18, along with the date.
13. After completing the form, save your changes, and consider downloading, printing, or sharing the form as needed.

Begin filling out the GNAG Medication Administration Request Form online today to ensure a safe program experience.