Cincinnati public schools administration of medication form 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the school name and fax number at the top of the form. This ensures that all communication is directed correctly.
3. Fill in the student’s name, date of birth, and home phone number in the designated fields. Accurate information is crucial for proper identification.
4. Next, complete the section for the student’s provider. Include the medication name, dosage, frequency, and how it should be administered. Specify the start date for medication administration.
5. If applicable, indicate any emergency medication details and attach an emergency action plan if required.
6. The parent or eligible student must then fill out their section, providing consent for administration and any specific conditions regarding asthma or EpiPen usage.
7. Finally, ensure all signatures are completed along with emergency contact numbers before submitting the form to your student’s principal or school nurse.

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