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Student Medication Request and Release Agreement - Douglas bb - dcsdk12 2025

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The document is a Student Medication Request and Release Agreement form for the Douglas County School District, which must be completed by parents or guardians for any medication a student needs to take during school hours. It outlines the requirements for medication release, including the need for a physician's prescription and proper labeling. The form also includes sections for physician instructions, potential side effects, and legal disclaimers regarding liability.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is a medication agreement?

Physicians use medication contracts to make sure that the patient and provider are on the same page before starting opioid therapy. Such agreements are most commonly used when narcotic pain relievers are prescribed.

What is the purpose of a treatment agreement?

Its purpose is to help the patient and healthcare provider work together toward safe and effective pain management. A treatment agreement is beneficial to both the patient and provider to establish the goals of opioid therapy, shared responsibilities, and safe use of opioids and terms of discontinuation.

What federal law affirm that students who need health services including medication administration in order to remain in school and learn must be accommodated?

Section 504 also requires that a school provide non-academic services, including health services, which are necessary to prevent discrimination. 34 C.F.R. 104.37(a)(2). If your child does not have an IEP and requires nursing services to access his educational placement, he should receive those under Section 504.

What are examples of controlled medications?

Schedule IV Controlled Substances Examples of Schedule IV substances include: alprazolam (Xanax), carisoprodol (Soma), clonazepam (Klonopin), clorazepate (Tranxene), diazepam (), lorazepam (Ativan), midazolam (Versed), temazepam (Restoril), and triazolam (Halcion).

What is the purpose of a controlled substance agreement?

Improving adherence Many authors say that the primary goal of the controlled-substance agreement is to promote the use of the medication as prescribed, with- out variance, and from one physician only.