Get Dodea Form 08 Shsm H-3-9 Student Retention Of Medication

This guide provides a detailed overview of how to fill out the DoDEA Form 08 SHSM H-3-9 Student Retention Of Medication online. Follow these instructions to ensure accurate completion of the form, which is essential for the proper management of medication for students in Department of Defense Education Activity schools.

Follow the steps to complete the online form accurately.

1. Click the ‘Get Form’ button to access the document and open it in your preferred online editor.
2. In Section 1, complete the fields with details about the student including the name, date of birth, grade, diagnosis, duration of treatment, medication name, dosage, and administration route. Be sure to include any possible side effects and the specific times or circumstances for administering the medication.
3. Explain why it is essential for the student to maintain possession of their medication at all times and outline the expected results from using the medication. Indicate whether backup medication needs to be kept in the school health office by circling 'YES' or 'NO'.
4. Document instructions for the student in case of adverse reactions or if expected results are not attained. The primary care manager or provider should sign and stamp this section, including their phone number and the date.
5. Move to Section 2, which must be completed by the sponsor, parent, or guardian. They should acknowledge that they have read the physician's statement and consent to the student possessing their medication at all times. The sponsor/parent/guardian will also provide a signature and the date.
6. In Section 3, the student should acknowledge their responsibility for the medication, agreeing to follow the prescription terms strictly. They must also sign and date this section, ensuring that instructions have been reviewed with them by the school nurse.
7. Once all sections are completed and signed, ensure that the form is saved if necessary. You can download, print, or share the completed form as required before returning it to the appropriate school office.

Start filling out your DoDEA Form 08 SHSM H-3-9 online today to ensure smooth processing for your student’s medication needs.