Get Md Mcps 525-13 2019-2026

Filling out the MD MCPS 525-13 form is essential for authorizing the administration of prescribed medication to students within the Montgomery County Public Schools system. This guide aims to provide clear, step-by-step instructions to ensure the form is completed accurately and submitted effectively.

Follow the steps to properly complete the form online.

1. Click ‘Get Form’ button to obtain the MD MCPS 525-13 form and open it in your online editing tool.
2. In Part I, the parent or guardian must fill in the student's last name, first name, middle initial, MCPS ID number, date of birth, and school name. Indicate whether it is a prescription renewal or new, and provide the date when the first dose was administered at home if it is a new prescription.
3. List all medications the student is currently taking, including any over-the-counter medications. This is crucial for the safety and health of the student.
4. Sign the form as the parent or guardian and provide your contact phone number and the date of signing.
5. In Part II, the authorized prescriber will need to specify the medication name, dosage, times for administration, and route of administration. Ensure to use specific details without ranges.
6. Identify any potential side effects associated with the medication and specify the frequency of administration, ensuring clarity.
7. The authorized prescriber must print their name, provide their contact information, and sign the form to validate the medication order.
8. If self-carry/self-administration of emergency medication is required, the prescriber must authorize this and it must be approved by the school nurse.
9. In Part III, the school community health nurse or principal will check the completed requirements and confirm with their signature and date.
10. Once all sections are completed accurately, save your changes, and proceed to download, print, or share the form as needed.

Complete and submit your MD MCPS 525-13 form online to ensure timely medication administration for your student.