Get School Medication Bpermitb Lakota Local School District Form Bb

Completing the SCHOOL MEDICATION PERMIT for the Lakota Local School District is essential for ensuring the safety and well-being of students who require medication during school hours. This guide provides clear, step-by-step instructions to help you fill out the form accurately and efficiently online.

Follow the steps to complete the form online effectively.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. In the first section, enter the name of the student, their birthdate, address, grade, school, and homeroom. These details are necessary for identifying the student and understanding their medication needs.
3. The parent or guardian should indicate their request for the school to administer the medication by checking the appropriate box or writing a statement. Following this, agree to deliver the medication in its original container and provide updates regarding any changes to the physician or medication.
4. Next, the parent or guardian should sign and date the form, providing their contact details, including an alternate phone number and a phone number where they can be reached during school hours.
5. In the physician section, input the medication name, authorization date, dosage, times it should be administered, and the start and end dates for administration. This section also includes space for noting any adverse reactions, storage instructions, and special administration instructions.
6. If applicable, complete the subsection regarding an asthma inhaler for self-administration by detailing the procedure to follow if symptoms are not relieved and the adverse reactions if used by someone unauthorized.
7. The physician must sign the form and provide their name, address, and emergency contact number. This ensures that the school has the physician’s acknowledgment and instructions.
8. Lastly, leave the sections reserved for school use blank. These will be completed by authorized personnel who have read the form.
9. Once all relevant sections are completed, review the information for accuracy. Save your changes, download the completed form, and print or share it as needed.

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