Get H.4. Over-the-counter Medication Authorization Of Administration Of Medication - Health State Mn

The H.4. Over-the-Counter Medication Authorization of Administration of Medication form is essential for parents and guardians to authorize school personnel to administer over-the-counter medications to their children during school hours. This guide provides a clear and easy-to-follow approach to filling out this important document online.

Follow the steps to successfully complete the form online.

1. Click ‘Get Form’ button to obtain the form and open it in your editor.
2. In the first section, fill in the student’s name, date, and date of birth to identify the individual for whom the medication authorization is being granted.
3. Enter the parent or guardian's name and contact information to establish who is giving the authorization.
4. Specify the school and the relevant teacher or grade to ensure the medication administration process is properly managed.
5. Clearly fill in the name of the medication that needs to be administered, and the dosage required for the student.
6. Indicate the student's weight, as this may be relevant to the dosage of certain medications.
7. Provide any known allergies that the student has to ensure the safety of the medication administration.
8. State the time or frequency at which the medication should be administered, making it clear for the school staff.
9. Write down the reason for the medication use, so school personnel understand its necessity.
10. Review the terms of authorization which include a release of liability for school personnel and sign the form to ensure it is valid.
11. Ensure that all contact numbers (home and work) are up to date to facilitate communication with the school if necessary.
12. Once all sections are completed, save your changes, and you may print, download, or share the completed form as needed.

Complete the H.4. Over-the-Counter Medication Authorization form online today to ensure your child's health and safety at school.