Get Wps 9038-1 Student Medication Authorization Form - Dmms Wps K12 Va

Filling out the WPS 9038-1 Student Medication Authorization Form is a vital step in ensuring that students receive their necessary medications during school hours. This guide provides a comprehensive overview of each section of the form to assist you in completing it accurately and efficiently.

Follow the steps to effectively complete the form online.

1. Press the ‘Get Form’ button to access the document and open it in the designated editor.
2. In the first section, fill in the student’s last name, first name, student number, grade, middle initial (M.I.), and date of birth in the provided fields.
3. List any known allergies in the designated area to ensure the school is aware of any potential reactions.
4. Provide parental consent by indicating your relationship to the student and confirming your permission for the student to take prescribed medications at school.
5. Sign the form as the parent or guardian and include your daytime phone number and the date of signing.
6. The medication authorization section is to be completed by a licensed prescriber. Enter the medication name, relevant diagnosis, dates the medication must be administered at school, the route of administration, and dosage amount.
7. Indicate whether the medication is for short term or episodic/emergency events only and specify the times of the day it should be administered.
8. Answer the questions regarding serious reactions, documenting any additional actions required for such reactions.
9. Complete special handling instructions, including refrigeration needs or protection from sunlight.
10. For students who are asthmatic or diabetic, indicate their capability of self-administering the medication and whether they can carry it themselves.
11. The licensed prescriber must print their name, contact number, and signature, along with an emergency number and the date.
12. Once all fields are complete, review the information for accuracy before saving your changes, downloading, printing, or sharing the completed form.

Take the next step in ensuring your child's health by completing the WPS 9038-1 form online today.