Medication Policy and Permission Form - Harford County Public ... - hcps 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the student's name, date of birth, and grade in the designated fields. Ensure accuracy as this information is crucial for proper medication administration.
3. Fill in any known allergies to ensure safety during medication administration. This section is vital for the school staff to be aware of potential allergic reactions.
4. Input the medication name, route of administration, and reason for giving the medication. Be specific to avoid any confusion regarding dosage and purpose.
5. Specify the exact dose to be given, including units (mg or puffs), and detail the time/frequency of administration. If it's a 'prn' (as needed) medication, clarify how often it can be administered.
6. Complete any additional instructions or relevant side effects that may occur from taking the medication. This ensures that school personnel are fully informed.
7. Have your health care provider sign and date the form before submission. Their signature is essential for validation.
8. Finally, as a parent/legal guardian, provide your authorization by signing where indicated and filling out your contact information.

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