Get Permission Form To Administer Medications - Highland Park High ... - Hphs Dist113

Filling out the Permission Form To Administer Medications is a crucial step for ensuring that medications are properly administered to students during school hours. This guide offers clear, step-by-step instructions to help you complete the form online with ease and accuracy.

Follow the steps to successfully complete the form.

1. Click the ‘Get Form’ button to obtain the form and open it in the online editor.
2. Begin by entering the student's I.D. number in the designated field to identify the student accurately.
3. Next, input the home phone number where the parent or guardian can be reached.
4. Record the date when the form is being received, and include the nurse's initials for reference.
5. Fill in the student's name, ensuring you specify the last and first names clearly.
6. Enter the student's date of birth to verify their identity.
7. Indicate the student's current grade level (Fr. So. Jr. Sr.) accordingly.
8. Provide details about the medication, ensuring that it is labeled by a physician or pharmacist.
9. Fill out the date of the prescription and the expected discontinuation date for medication.
10. Describe the disease or illness that requires medication administration.
11. Specify the medication name, along with reasons necessitating that it be given during school hours.
12. Indicate the administration details: daily dosage, PRN (as needed), or emergency situations.
13. Provide strength, dosage, frequency, and timing for the medication intake.
14. Detail the route of administering the medication, such as orally or topically.
15. List any conditions under which the medication should be given.
16. State the intended effect of the medication and monitor any known side effects.
17. Mention any additional medications the student may currently be receiving.
18. Provide a re-evaluation date to ensure ongoing assessment of the medication's necessity.
19. Indicate whether the student is allowed to self-administer medication under supervision.
20. Answer questions regarding the necessity for the student to carry an inhaler or .
21. Include any additional instructions from the physician that may be relevant.
22. Ensure to obtain the necessary signatures from the parent or guardian and the physician.
23. Finally, after reviewing all entries, save your changes, download, print, or share the completed form.

Complete the Permission Form To Administer Medications online to ensure your student's health needs are met.