Get Allergy Medication Administration Form

Completing the Allergy Medication Administration Form online is an essential step in ensuring the safety and health of students with allergies. This guide provides clear and supportive instructions on how to effectively fill out each section of the form.

Follow the steps to complete the form accurately and efficiently.

1. Press the ‘Get Form’ button to access the Allergy Medication Administration Form and open it in your preferred editor.
2. Begin by entering the student’s last name, first name, and middle initial. Attach a current photo of the student in the designated space.
3. Fill in the date of birth in the format MM/DD/YYYY and the student’s weight in kilograms.
4. Specify the student’s gender by selecting either 'Male' or 'Female'.
5. Provide the OSIS number, DOE district, grade, and class of the student.
6. In the section for health care practitioner, specify each allergy the student has and indicate any history of asthma or anaphylaxis by selecting 'Yes' or 'No' for each.
7. Detail any symptoms experienced during anaphylaxis and include the date of any skin testing, if applicable.
8. Select the appropriate in-school medications available for the student. Indicate whether the student is nurse-dependent, supervised, or independent concerning medication administration.
9. Confirm the ability of the student to self-manage and recognize allergic reactions by selecting 'Yes' or 'No' for each question.
10. In the 'In School Instructions' section, check all applicable PRN symptoms and provide any necessary dosage information.
11. In the section dedicated to the parent/guardian, provide consent for medication administration and initial necessary areas, indicating your understanding of storage and administration protocols.
12. Complete the health care practitioner's section with their details, including name, signature, and contact information.
13. Review the entire form for accuracy, make any necessary changes, and then save any updates you’ve made. You can download, print, or share the completed form as needed.

Start filling out the Allergy Medication Administration Form online today to ensure your child's medication needs are met.