Medication Order Form - Catawba County - catawbacountync 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the 'Date of Request' at the top of the form. This helps establish when the medication request is made.
3. Fill in your child's name, birth date, and school in the designated fields. Accurate information is crucial for proper identification.
4. In the permission section, confirm that you allow school personnel to administer the medication by signing and printing your name as a parent/guardian.
5. Provide your best contact number(s) for any follow-up questions from school staff regarding your child's medication.
6. The physician must complete their section by detailing the medication name, dosage, administration times, and any specific directions or side effects to monitor.
7. Ensure that the physician signs and dates their section, confirming their order and whether self-administration is permitted.

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