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School medication administration form

Alabama school medication form 2026

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The document is a School Medication Prescriber/Parent Authorization form from the Alabama State Department of Education, revised on 09/11/07. It outlines the necessary information for administering medication to students at school, including sections for student details, prescriber authorization, parent authorization, and self-administration consent. The form requires signatures from both the prescriber and parent, ensuring that medications are properly documented and managed in a school setting.

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Click ‘Get Form’ to open the Alabama School Medication Form in our platform.
Begin by filling out the 'Student Information' section. Enter the student's name, date of birth, school, grade, teacher, and school year. Additionally, list any known drug allergies and provide the student's height and weight.
In the 'Prescriber Authorization' section, input the name of the medication, reason for taking it, dosage, route of administration, and frequency. Specify start and stop dates for medication as needed.
Complete any special instructions regarding refrigeration or controlled substances. Indicate if self-medication is permitted and whether it should be kept on person by the student.
Ensure that both prescriber and parent signatures are obtained in their respective sections along with contact information.

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Versions	Form popularity	Fillable & printable
2019	4.1 Satisfied (25 Votes)
2014	4.2 Satisfied (48 Votes)
2007	4.9 Satisfied (56 Votes)

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