Alabama school medication prescriber parent authorization 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the school year at the top of the form. This helps to keep track of medication authorizations for each academic year.
  3. Fill in the student information section, including the student's name, date of birth, age, school, grade, and teacher's name. If there are any known drug allergies, list them here.
  4. In the prescriber authorization section, a licensed healthcare provider must complete details about the medication including its name, dosage, route of administration, frequency/times to be given, start and stop dates.
  5. Provide information regarding potential side effects and special instructions. Indicate if self-medication is permitted and whether the medication is a controlled substance.
  6. The parent or guardian must sign in the parent authorization section to authorize school personnel to administer the medication as prescribed.
  7. If applicable, complete the self-administration authorization section with signatures from both the parent and healthcare provider.

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