Get Lausd Medication Form

Filling out the Lausd Medication Form online is an essential step in ensuring that students receive their prescribed medication during school hours. This guide provides clear and detailed instructions to help you navigate the form efficiently.

Follow the steps to complete the Lausd Medication Form online.

1. Press the ‘Get Form’ button to obtain the Lausd Medication Form. This will enable you to open the document in the online editor.
2. Begin by entering the student’s name in the designated fields for 'Last' and 'First'. This ensures that the medication request is properly associated with the correct individual.
3. Fill in the student's 'Sex' and 'Birth date' to provide additional identification details, which may be required for accurate records.
4. Specify the 'Name of medication' that the student is prescribed. Be precise to avoid any confusion regarding the medication to be administered.
5. Input the 'School' where the student attends. This will help ensure that the medication request is processed for the correct institution.
6. Provide the 'Date of prescription' along with the 'Time schedule at school' for when the medication should be administered.
7. Document the 'Dosage prescribed' and select the appropriate 'Dose form', such as tablet, liquid, injection, or inhalant, to specify how the medication is provided.
8. Outline the 'Purpose of medication or diagnosis' to clarify why the medication is prescribed, which may assist school staff in understanding its necessity.
9. If the medication may have adverse side effects, please explain in the designated section to ensure that school personnel are adequately informed.
10. Include any 'Special instructions and/or comments' that may be necessary for the administration of the medication.
11. The licensed health care provider must print their name and title, sign, and date the form, confirming the medication request as part of their professional responsibility.
12. Complete the provider's address, city, state, zip code, and telephone number for follow-up communications if necessary.
13. If applicable, the supervising physician's name and furnishing number should be printed to maintain compliance with regulations.
14. The parent or guardian section must be filled out by including the child's name, signing for consent, and providing contact information, including home, work, and cellular telephone numbers.
15. After completing all the required fields, ensure your information is accurate, then save your changes. You may choose to download, print, or share the completed form as needed.

Ensure your child receives their prescribed medication during school hours by completing the Lausd Medication Form online today.