Follow the steps to accurately complete the medication permission form.

1. Click the ‘Get Form’ button to access the form and open it in your designated online editor.
2. Begin by entering the student's full name in the 'Student' field.
3. Provide the student's birthdate in the appropriate section.
4. Indicate the school the student attends by selecting it from the dropdown list, if available.
5. Select the student's grade level from the options provided.
6. Fill in the 'Medication Name' field with the exact name of the medication.
7. Specify the medication's strength by entering the necessary details.
8. Choose the formulation of the medication by checking the corresponding box, such as 'Tablet/Capsule', 'Liquid', 'Injection', 'Topical', 'Inhaler', or 'Nebulizer'.
9. Enter the required dose to be administered in the respective field.
10. If the medication is to be given as needed (PRN), specify the frequency of administration.
11. Indicate the specific times at which the medication should be given at school, selecting the AM or PM option as appropriate.
12. If applicable, describe the symptoms for which the medication is given as needed.
13. Provide the reason for giving the medication in the designated text box.
14. List any relevant side effects of the medication in the provided section.
15. State how soon the dose can be repeated.
16. Fill in the date range for when the medication should be administered at school.
17. Add any additional instructions regarding the medication administration.
18. Clearly print or type the name and title of the health care provider (HCP) in the corresponding fields.
19. Record the HCP's telephone number and fax number.
20. Include the HCP’s address.
21. Attach the designated Dr./Clinic stamp if available.
22. Ensure the prescriber signs and dates the form.
23. As a parent or guardian, authorize the school personnel to administer the medication by signing the statement provided. Ensure you fill in your daytime phone number and the date of signing.
24. Review all fields for accuracy before finalizing.
25. Once complete, save any changes, download, print, or share the form as needed.

Complete the CA SJUSD School Medication Permission Form online today to ensure your child’s health needs are met at school.