Montgomery County School Medication Authorization Form
This document serves as an authorization for administering prescribed medication to students at Montgomery County Public Schools. Parents must complete the form with physician approval for each medication. Ensure to follow the provided procedures for a smooth process.
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How do I fill this out?
Filling out this form is essential for ensuring your child's medication needs are met during school hours. Start by providing the necessary information in all required fields. Make sure to follow the outlined procedures for accuracy and compliance.
How to fill out the Montgomery County School Medication Authorization Form?
1
Complete Part I with parent/guardian details.
2
Obtain physician's information and authorization in Part II.
3
Ensure all medication is properly labeled and delivered by a parent/guardian.
4
Collect any unused medication after the expiration of the physician's order.
5
Sign and date the form where required.
Who needs the Montgomery County School Medication Authorization Form?
1
Parents of students requiring medication during school hours.
2
School nurses to legally administer medication.
3
Physicians for authorizing medication dosages.
4
Guardians to ensure their child receives necessary treatment.
5
Organizations ensuring compliance with health regulations.
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What are the instructions for submitting this form?
To submit this form, please send a completed copy to the school nurse at your child's school. You can also fax it to the health office at [insert fax number] or email it to [insert email]. Ensure all information is filled out completely for prompt processing. For best results, submit the form well in advance of any planned medication administration.
What are the important dates for this form in 2024 and 2025?
Important dates for this form include the beginning of each school year when the form must be updated. New medication orders or dosage changes require submission as they occur. Ensure timely submissions to avoid interruptions in your child's medication regime.
What is the purpose of this form?
The purpose of this form is to legally authorize Montgomery County Public Schools to administer prescribed medication to students during school hours. It ensures that parents and guardians provide necessary health information to school personnel. This helps maintain student health and safety while adhering to medical guidance.
Tell me about this form and its components and fields line-by-line.
- 1. Student: Name of the student requiring medication.
- 2. Date of Birth: Date of birth of the student.
- 3. School: Name of the school the student attends.
- 4. Medication Name: Name of the prescribed medication.
- 5. Dosage: Dosage of the medication to be administered.
- 6. Physician's Name: Name of the prescribing physician.
- 7. Signatures: Required signatures from the parent and physician.
What happens if I fail to submit this form?
Failing to submit this form may result in your child not receiving essential medication during school hours. This can negatively affect their health and well-being. It is crucial to ensure the form is filled out correctly and submitted on time.
- Student Health Risk: Without the form, students may miss out on necessary medication.
- Legal Compliance: Schools may face legal challenges if medication is administered without proper authorization.
- Delayed Treatment: Failure to submit could delay the start of critical health management.
How do I know when to use this form?
- 1. New Medications: Use this form when your child starts a new medication.
- 2. Ongoing Medication Management: Complete this form for continuous medication needs annually.
- 3. Dosage Changes: Use the form anytime there are changes in dosage for medication.
Frequently Asked Question
What is the purpose of this form?
This form is for authorizing medication administration to students during school hours.
Who needs to fill out this form?
Parents or guardians must complete this form alongside a licensed physician.
How do I submit this form?
After filling out the form, submit it directly to the school nurse or designated office.
Can I edit the PDF before submitting?
Yes, you can easily edit the PDF using PrintFriendly’s editor before downloading.
What if I need to make changes after submission?
You will need to fill out a new form if any changes in medication or dosage occur.
Where do I deliver the completed form?
The completed form should be delivered to your child's school.
What medications does this form cover?
The form covers prescription and certain over-the-counter medications.
Is there a deadline for this form?
This form needs to be submitted each school year for ongoing medication orders.
Can I submit this form electronically?
Check with your school for options regarding electronic submission.
What happens if the form is not submitted?
Without the form, the school cannot administer any medication to your child.
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