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MEDICATION DISPENSING FORM - St Joseph School - stjoeelem

MEDICATION DISPENSING FORM - St Joseph School - stjoeelem 2025

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The document is a Medication Dispensing Form for St. Joseph School, requiring parental approval for administering over-the-counter or short-term prescription medications to students. It mandates that parents provide medications in their original containers and includes sections for detailing the medication type, dosage, and a waiver of liability for the school. Additionally, there is a section for office use to record administration details.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the student's name and grade at the top of the form. This information is essential for identifying the student receiving medication.
In the 'OVER THE COUNTER MEDICATIONS' section, circle either Ibuprofen or acetaminophen as applicable. Then, specify the dosage for each medication listed.
For any additional over-the-counter medications, fill in their names and dosages in the provided spaces.
In the 'PRESCRIPTION MEDICATION' section, write down the name of the prescription medication along with its dosage.
Sign and date at the bottom of the form to authorize St. Joseph School employees to administer medication as described.
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