Get Request For Administration Of Medications In Hampton Roads Schools 2002
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How to fill out the Request for Administration of Medications in Hampton Roads Schools online
This guide provides a comprehensive overview of how to correctly fill out the Request for Administration of Medications form for Hampton Roads Schools. By following these instructions, you can ensure that the necessary information is accurately submitted to support your student's health needs.
Follow the steps to complete the form effectively.
- Use the ‘Get Form’ button to access the Request for Administration of Medications form and open it in your preferred editing platform.
- Fill in today’s date at the designated section to indicate when the form is completed.
- Enter the name of the student, ensuring to include their last name, first name, and middle initial in the provided fields.
- Specify the school the student attends by selecting or typing the correct school name.
- Provide the student's date of birth using the format (Month/Day/Year) in the designated area.
- Outline the student’s diagnosis clearly in the appropriate section.
- Include the medication name in the corresponding field, ensuring it matches the prescription.
- Indicate the dosage of the medication that the student is required to take.
- Specify the time of administration, detailing when the medication should be given.
- Describe the route of administration (e.g., oral, injectable) and any specific instructions for taking the medication.
- Note the start date for administering the medication in the designated field.
- If applicable, specify the end date for the medication administration.
- For Norfolk Public Schools, enter the Diagnostic ICD-9 code if required.
- Print the name of the prescribing physician, nurse practitioner, or dentist in the provided field.
- Include the phone number of the healthcare provider to facilitate communication regarding the medication.
- Obtain the appropriate signature from the physician, nurse practitioner, or dentist to authorize the medication administration.
- The parent or legal guardian must sign to give permission for the school to administer the medication as prescribed.
- Include the home and work phone numbers of the parent or legal guardian for contact purposes.
- After completing the form, save your changes, and you may choose to download, print, or share the form as needed.
Take action now by completing the Request for Administration of Medications form online to ensure your student's medication needs are met.
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To document the administration of medication, start by filling out the medication administration record. You should include the student's name, the name and dose of the medication, the time it was given, and any reactions observed. Adhering to the Request for Administration of Medications in Hampton Roads Schools ensures that all necessary details are captured, providing a clear record for future reference.
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