Owatonna Public Schools Medication Request Form
This file is a Medication Request and Physician Authorization form for Owatonna Public Schools. It is designed for parents or guardians to request medication for their children during school hours. Properly filling this form ensures the safety and health of students requiring medication while at school.
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How do I fill this out?
To fill out this form, start by entering the student's name and date of birth. Next, provide details about the medication, including its name, dosage, and the time it should be administered at school. Finally, ensure that a parent or guardian signs the form, granting authorization for medication administration.
How to fill out the Owatonna Public Schools Medication Request Form?
1
Enter the student's full name and date of birth.
2
Provide the medication name, dosage, and administration details.
3
Fill out the physician's information, including signature and date.
4
Sign the form as a parent or guardian to authorize medication use.
5
Submit the completed form to the school health services office.
Who needs the Owatonna Public Schools Medication Request Form?
1
Parents of students who require medication during school hours.
2
School health service staff who need authorization for medication administration.
3
Physicians prescribing medication that will be given at school.
4
Guardians managing health care for children enrolled in Owatonna Public Schools.
5
School administrators needing accurate health records for students.
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Click on the editable fields to fill in the required information.
3
Review the details entered and make necessary adjustments.
4
Sign the document electronically or by typing your name.
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What are the instructions for submitting this form?
To submit the Medication Request Form, you can fax it to Owatonna Public School's Health Services Office at the appropriate school fax number provided on the form. Alternatively, you may physically bring the completed form to the school health office. Ensure to keep a copy for your records and notify the school of any changes to the medication as necessary.
What are the important dates for this form in 2024 and 2025?
Parents should submit the Medication Request Form at the beginning of each school year, ideally by the first day of school. If your child is beginning a new medication, this should also be submitted promptly. It is important to keep the school updated about medication changes whenever necessary.
What is the purpose of this form?
The purpose of the Medication Request Form is to ensure that students who require medication during school hours receive their prescribed doses safely. It establishes clear communication between parents, school health personnel, and physicians regarding the administration of medications. This form protects the health of students and complies with school policies and legal requirements.
Tell me about this form and its components and fields line-by-line.
- 1. Student Name: Full name of the student requiring medication.
- 2. Name of Medication: The specific medication that needs to be administered.
- 3. Dose of Medication: The prescribed dosage amount for administration.
- 4. Time of Day to be given in School: The specific time at which the medication should be given.
- 5. Physician Signature: Signature of the physician authorizing the medication.
- 6. Parent/Guardian Signature: Signature of the parent or guardian approving the medication administration.
What happens if I fail to submit this form?
If the Medication Request Form is not submitted, the student may not receive the necessary medication during school hours. This can lead to health risks for the student if medication is crucial for their well-being. It is essential to ensure that the form is completed and submitted timely to avoid interruptions in the student's health care.
- Health Risks: Failure to provide medication can result in serious health complications.
- Compliance Issues: The school may not be able to comply with health and safety regulations.
- Disruption for Student: The student may experience discomfort or distress without their medication.
How do I know when to use this form?
- 1. New Academic Year: Submit the form to authorize medication administration for the upcoming school year.
- 2. Change in Medication: Use the form to report any new or changed medication prescriptions.
- 3. Field Trips: Ensure medication is approved for administration during field trips.
Frequently Asked Questions
How can I fill out the Medication Request Form?
Fill out the form directly by entering the student's details, medication information, and signing it.
Can I edit this PDF after downloading it?
Yes, you can edit the PDF on PrintFriendly before downloading it.
What should I do if I encounter issues while filling it out?
Contact the school health services office for assistance with the form.
Is there a specific deadline for submitting this form?
It's recommended to submit the form at the beginning of each school year.
Can guardians fill out this form?
Yes, guardians are authorized to complete and sign the form.
What if my child's medication changes during the year?
You will need to submit a new Medication Request Form if there are any changes.
How do I ensure the form is filled out correctly?
Double-check all entries for accuracy and completeness before submission.
Can I print this form?
Yes, you can download and print the form once completed.
What if my child's medication is not listed?
Provide a detailed description of the medication in the information section.
Is the form available in other languages?
Consult with the school office for language options and translation services.
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