Get Refusal To Provide Medication - Schoolfusion - Theacademy Schoolfusion

Filling out the REFUSAL TO PROVIDE MEDICATION form is an important step for parents or guardians who choose not to provide medication for their child at school. This guide will walk you through each section of the form to ensure you complete it accurately and confidently.

Follow the steps to successfully complete the form.

1. Click the ‘Get Form’ button to access the form and open it in your chosen platform.
2. Fill in the program site where your child is enrolled on the line provided at the top of the form.
3. Enter your name as the parent or guardian in the 'From' section. Make sure to use your full legal name for identification purposes.
4. Indicate your child’s name in the 'Regarding' section to specify the individual the form pertains to.
5. Provide your child's date of birth in the designated field to verify their identity.
6. In the next section, describe the medical condition(s) your child has that you are referring to. Be thorough to ensure clear understanding.
7. Acknowledge your decision to refuse medication by signing and dating the form in the parent/guardian signature area. This indicates that you accept responsibility for any medical reactions.
8. Ensure your child’s medical care provider reviews your decision. They should sign and date the form, provide their license number, and include their printed name and contact phone number.
9. After ensuring all sections are completed, review the form for any necessary changes or notes. Any adjustments must be signed and dated.
10. Finally, save a copy of the completed form for your records. You may then print, download, or share it as required, ensuring all relevant parties have the information.

Complete your documents online today with confidence and ease.