Follow the steps to effectively complete the form online.

1. Press the ‘Get Form’ button to access the form and open it in the editor.
2. In the first section, enter the school name and teacher's name. Ensure the information is complete and accurate.
3. Next, provide the student’s name, grade, and date of birth (DOB). This information is crucial for identifying the student receiving medication.
4. Indicate any allergies the student may have and fill in the specific medication name, dosage, scheduled time, and the route of administration.
5. Document the prescribing physician's information, including the name and phone number, along with the school nurse's name.
6. Move on to the medication count section. Note that controlled medications must be counted upon receipt. This can be done by either the parent/guardian and a school staff member, or by two staff members if a parent is not present.
7. Fill out the signatures for the person counting the medication and the witness for verification. Include the date and a description of the pill. Record both the number of pills received and the number of pills remaining.
8. Repeat the medication dosage documentation for each subsequent controlled substance as needed, following the same format as previous steps.
9. At the end of the log, indicate the date the parent/guardian was contacted regarding unused medicine and the date they picked it up. Record the number of pills picked up and obtain the parent's signature.
10. Finally, document the destruction of any unused medication with the corresponding dates, staff signatures, and number of pills destroyed.
11. After completing all sections of the form, remember to save changes, download, print, or share the document as required.

Complete and manage your medication logs online to ensure compliance and safety.