Get Al School Medication Prescriber/parent Authorization 2019-2025

This guide provides a clear and detailed approach to filling out the AL School Medication Prescriber/Parent Authorization form online. Users can follow these steps to ensure that all necessary information is accurately submitted for their child’s medication requirements.

Follow the steps to complete your authorization form effectively.

1. Press the ‘Get Form’ button to access the document and open it in your preferred editing interface.
2. Input the school year at the top of the form in the designated fields, ensuring it reflects the current academic year.
3. Provide the student's information, including their name, school, date of birth, grade, and teacher’s name. Each field should be filled out completely.
4. Indicate any known drug allergies by checking the appropriate box. If applicable, list all allergies in the space provided.
5. Fill in the student’s weight in pounds, as this is often necessary for medication dosage determination.
6. Under the prescriber authorization section, have a licensed healthcare provider complete the required fields: medication name, dosage, route, frequency, the start and stop dates, and the reason for taking the medication.
7. Document any potential side effects and treatment orders in the event of an adverse reaction. This ensures that staff is prepared for any issues.
8. Answer the questions regarding special instructions, including whether the medication is a controlled substance or if self-medication is permitted.
9. Complete the prescriber's details, including their printed name, phone number, fax number, and signature along with the date of completion.
10. In the parent authorization section, the parent or guardian must sign and date the form, providing their contact number as well.
11. If applicable, fill out the self-administration authorization section with the parent’s signature and date. This includes affirming that the student was instructed on proper self-administration.
12. Review all information for accuracy, then save changes, download, print, or share the completed form as needed.

Complete your AL School Medication Prescriber/Parent Authorization online to ensure your child's medical needs are met effectively.