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How do I fill this out?
To fill out this form, begin by entering the student's details at the top. Next, provide specific information about the medication, including dosage and administration frequency. Lastly, ensure that both the prescriber and parent/guardian sign the form for approval.
How to fill out the Maryland School Medication Administration Authorization?
1
Complete the student's personal information section.
2
Fill in the medication details, including name and dosage.
3
Specify the timings for administration of the medication.
4
Obtain prescriber’s authorization with their signature.
5
Ensure the parent/guardian signs to provide consent.
Who needs the Maryland School Medication Administration Authorization?
1
Parents or guardians need this form to authorize medication administration at school.
2
School nurses require this form to administer needed medications to students.
3
Prescribers need this form to formalize medication orders for students.
4
Administrative staff must maintain this form for legal compliance regarding medication management.
5
Students with chronic conditions require this form to ensure their health needs are met at school.
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What are the instructions for submitting this form?
To submit this form, ensure all fields are filled out correctly and signed by both the prescriber and parent/guardian. You can submit the form by faxing it to the school nurse's office or by handing it in directly. For email submissions, check your school’s specific email address for health forms and provide a PDF attachment of the completed document.
What are the important dates for this form in 2024 and 2025?
This authorization form must be submitted at the beginning of each school year or whenever there is a change in a student's medication. Important dates include the start of the school year and any planned medication changes throughout the year. Remember to check with the school for specific submission deadlines.
What is the purpose of this form?
The purpose of this form is to provide a systematic approach for managing students' medication needs while at school. It establishes a clear protocol for parents, guardians, and school personnel to follow. This ensures that students receive necessary medications safely and legally during school hours.
Tell me about this form and its components and fields line-by-line.
- 1. Student Name: The full name of the student who requires medication.
- 2. Date of Birth: The birth date of the student.
- 3. Condition: The medical condition for which the medication is prescribed.
- 4. Medication Name: The name of the medication that needs to be administered.
- 5. Dose: The specific dose to be given to the student.
- 6. Time/Frequency of Administration: When and how often the medication should be given.
- 7. Parent/Guardian Name: The name of the parent or guardian authorizing the medication.
- 8. Prescriber Name: The name of the medical provider giving the prescription.
What happens if I fail to submit this form?
Failure to submit this form can result in the students not receiving their necessary medications. This can lead to potential health risks and complications for those with chronic conditions. It's crucial for the safety and well-being of the student that the form is completed and submitted timely.
- Health Risks: Students may face health risks if required medication is not administered.
- Legal Issues: Not having proper documentation may create liability issues for the school.
- Lack of Communication: Absence of this form may hinder effective communication between parents and school administration.
How do I know when to use this form?
- 1. Chronic Conditions: Required for students with chronic health issues needing regular medication.
- 2. Short-Term Medications: Necessary for students who may require medication for a limited time.
- 3. Emergency Medication: Essential for students who have emergency medications for allergic reactions or other urgent health needs.
Frequently Asked Question
What is the purpose of this form?
This form authorizes the school to administer medication to students as prescribed.
Who can fill out this form?
Parents or guardians, along with the prescriber, must complete this form.
How do I download the completed form?
After filling out the form, click the download button to save your document.
Can I edit the form after downloading?
Yes, you can re-upload the downloaded form to make further edits.
Is there a limit on the type of medications listed?
No, all prescribed medications can be documented on this form.
How do I ensure the form is valid?
Make sure all required fields are filled out completely and signed by both the prescriber and guardian.
What happens if I lose the form?
You can always access the form on PrintFriendly to download another copy.
Does this form need to be renewed?
Yes, a new form must be filled out for each school year and with any changes to medication.
How can I share the form with school personnel?
Use the share feature to send the document via email or to print for school submission.
Can I save the completed form on PrintFriendly?
Currently, you can download your completed form, but saving is not available.
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