Get Ca Lausd Bul-3878 2022-2026

Filling out the CA LAUSD BUL-3878 form is an essential step for ensuring that students receive the necessary medication during school hours. This guide provides a clear, step-by-step approach to completing the form online, making the process straightforward for all users.

Follow the steps to effectively complete the form online.

1. Press the ‘Get Form’ button to access the CA LAUSD BUL-3878 form in your editing tool.
2. Begin by entering the student’s name in the designated fields, including the last name and first name. Ensure accuracy to avoid any discrepancies.
3. Indicate the gender of the student by selecting the appropriate option.
4. Enter the name of the medication prescribed to the student in the corresponding field.
5. Fill in the dosage prescribed, as well as the duration for which the medication is to be taken, specifying either '1 Year' or 'short-term.'
6. Record the start date and the time schedule for medication administration during school hours.
7. Provide the route of medication administration where indicated.
8. Specify the date when the medication is to be discontinued, or indicate the number of days the medication will be administered.
9. Enter the purpose of the medication or the diagnosis, and include the relevant ICD code.
10. If applicable, check any recommendations regarding potential adverse side effects and provide special instructions or comments in the designated area.
11. The licensed health care provider should print their name and title, followed by their signature and date.
12. Fill in the address, city, state, zip code, and telephone number of the health care provider.
13. Complete the section for the supervising physician's name and furnishing number, if necessary.
14. If applicable, have the parent or guardian fill out their information, including the student’s name, signature, and contact numbers.
15. Once all fields are completed and verified, users can save changes, download, print, or share the form as needed.

Take a step towards ensuring your child’s health at school by completing the CA LAUSD BUL-3878 online today.