Get Authorization To Give Medication - Cobb County School District - Cobb K12 Ga

This guide provides a clear, step-by-step approach for completing the authorization form necessary for medication administration during school hours in Cobb County. Following these instructions will help ensure that your child receives the proper medication while attending school.

Follow the steps to fill out the authorization form efficiently.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling out the student’s name in the designated field provided at the top of the form. This identifies the child for whom medication authorization is being requested.
3. In the next section, enter the name of the student’s teacher and their grade. This information helps the school staff coordinate with the appropriate teacher regarding medication administration.
4. Authorize the Cobb County School District to assist your child by checking the relevant sections. You will also indicate your understanding of the guidelines regarding original labeled medication containers and the need for written permission for administration.
5. List the name of the medication your child will be taking in the next field. Ensure that this matches exactly with what is provided on the medication container.
6. Specify the dosage, route, and time(s) the medication should be administered. This is critical for ensuring that the school staff follows the prescribed medication schedule accurately.
7. Provide the date when the medication should be discontinued, along with the condition or illness that necessitates this medication.
8. Identify any possible side effects of the medication, ensuring the school is aware of what to monitor.
9. Have a licensed health care provider complete their information in the designated section, including their phone number for school staff to reach out if necessary.
10. Sign and date the form as a parent or guardian to indicate your consent. Ensure you provide your contact information, including home, work, and cell phone numbers.
11. Once you have filled out all necessary fields, review the form to confirm all information is accurate, then save your changes. You can download, print, or share the completed form as needed.

Complete the authorization form online today to ensure your child's medication needs are met during school hours.