Get Medication Authorization Form

This guide provides clear instructions for completing the Medication Authorization Form online. It is essential to fill out this form thoroughly to ensure that your child receives the proper medications as authorized.

Follow the steps to accurately complete the form

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Section A must be completed by the parent or guardian for all medication authorizations. Fill in the child's name in the designated field.
3. Enter the name of the medication in the corresponding field, ensuring it is spelled correctly.
4. If there are any special instructions, include them in the provided area.
5. The parent or guardian must sign and date the form, confirming their permission for the medication administration.
6. If the medication authorization is for a long-term medication, Section B must be completed by the child’s physician. The physician should input their name and certify the medical necessity for the medication.
7. List the medications prescribed, along with the corresponding dosage and administration times as advised by the physician.
8. The physician must sign and date the form to validate the authorization.
9. Once all sections are filled, save your changes. You can then download, print, or share the completed form as needed.

Complete your Medication Authorization Form online to ensure your child's health and safety.