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D II above are completed, including signatures. (It is acceptable if all items of information in Part II are written on the physician’s stationery/prescription blank.) Prescription medication is properly labeled by a pharmacist. Medication label and physician order are consistent. Over-the-counter medication is in an original container with the manufacturer’s dosage label and safety seal intact. / / Date any unused medication is to be collected by the parent or guardian (within on.

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How to fill out the MD MCPS 525-13 online

Filling out the MD MCPS 525-13 form is essential for authorizing the administration of prescribed medication in Montgomery County Public Schools. This guide will walk you through each section of the form, ensuring that you complete it accurately and efficiently.

Follow the steps to fill out the MD MCPS 525-13 online.

  1. Press the ‘Get Form’ button to obtain the form and open it in the editor.
  2. In Part I, enter the student's name and birthdate. Specify the prescription type by marking either 'New' or 'Renewal'.
  3. Indicate the school the student attends, and if this is a new prescription, state the date the first full day's dosage was administered at home.
  4. List all medications the student is currently taking, including any over-the-counter medications.
  5. The parent or guardian must sign and provide their phone number, along with the date to confirm their authorization.
  6. Part II must be filled out by the physician. They need to include the medication name, dosage, diagnosis, times for administration at school, and effective dates.
  7. Physicians also need to specify any potential side effects and the frequency of administration, ensuring specific ranges are not used.
  8. The physician must print or type their name, sign the form, and provide their contact information along with the date.
  9. In Part III, the principal or school nurse will verify that Parts I and II are completed correctly. They will also confirm that the prescription is properly labeled.
  10. Finally, the principal or school nurse must sign and date the form, ensuring all necessary approvals are in place.
  11. Once all sections are completed, save your changes to the document. You can download, print, or share the form as needed.

Complete the MD MCPS 525-13 online to ensure proper medication administration for your child.

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MD MCPS 525-13
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