Follow the steps to complete the form accurately and efficiently.

1. Click ‘Get Form’ button to access the Medication Permission Form and open it in your preferred editor.
2. Begin by entering the school year, which is 2023-2024, followed by the start date for medication administration.
3. Provide the name of the school where your child is enrolled.
4. Fill in your child’s name, date of birth, grade, and teacher’s name as indicated in the relevant fields.
5. Specify the medication name. Remember, only one medication is allowed per page of this form.
6. Indicate the dosage, route, and the diagnosis or reason for the medication.
7. Specify the time the medication is due, along with the frequency of dosage.
8. If applicable, enter the ICD 10 code related to the condition being treated.
9. List any parameters for ‘as needed’ medications, such as specific conditions under which the medication should be given.
10. Include any special storage requirements for the medication.
11. If your child has severe allergies, indicate 'Yes' or 'No' and list any allergies if applicable.
12. Detail any potential side effects of the medication.
13. Ensure the prescribing healthcare provider signs the form and provides their address.
14. Confirm whether the medication is a controlled substance by checking 'Yes' or 'No'.
15. State the anticipated number of days the medication will be administered at school.
16. In the section below, as the parent or guardian, provide your child’s name and give permission for administering the medication as prescribed.
17. Sign and date the form, ensuring you also provide your printed name and daytime phone number.

Complete the SC Richland School District Two Medication Permission Form online to ensure your child's medication needs are met.