Montgomery County Public Schools Medication Authorization Form
This file provides parents with a form to authorize the administration of prescribed medication to students in Montgomery County Public Schools. It includes sections for parent guardian information and authorized prescriber details, ensuring safe medication management in schools. Parents should complete the required fields to comply with MCPS regulations regarding student health.
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How do I fill this out?
To fill out this form, start by entering your child's information, including their name and date of birth. Next, provide the details of the prescribed medication and the authorized prescriber's information. Ensure that both parent/guardian and authorized prescriber sign the form where indicated.
How to fill out the Montgomery County Public Schools Medication Authorization Form?
1
Enter the student's name and relevant details.
2
List all prescribed medications along with dosages.
3
Complete the authorized prescriber section accurately.
4
Obtain necessary signatures from both the guardian and prescriber.
5
Submit the completed form to the school nurse.
Who needs the Montgomery County Public Schools Medication Authorization Form?
1
Parents or guardians of students needing medication at school.
2
Authorized prescribers who need to provide medication instructions.
3
School nurses responsible for administering medication.
4
School administrators to maintain medical records.
5
Legal guardians needing to comply with school district policies.
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What are the instructions for submitting this form?
To submit this form, present it to your child's school nurse in person or via email. Include relevant contact information for both the parent and prescriber. Ensure that the form is filled out completely to avoid processing delays.
What are the important dates for this form in 2024 and 2025?
For the 2024-2025 school year, forms are due by the first day of school. Ensure all necessary signatures are obtained prior to submission. Follow specific guidelines for medication renewals each year.
What is the purpose of this form?
The MCPS Medication Authorization Form is designed to ensure that students receive appropriate medical care while attending school. By completing this form, parents or guardians grant permission for school staff to administer prescribed medications to their children. This process ensures compliance with health regulations and safeguards student well-being during school hours.
Tell me about this form and its components and fields line-by-line.
- 1. Student Information: Includes details like name, date of birth, and school.
- 2. Medication Details: Covers the name of medication, dosage, and administration schedule.
- 3. Parent/Guardian Signature: Space for parent or guardian to sign and provide contact information.
- 4. Authorized Prescriber Information: Designated area for healthcare professional's instructions and signature.
- 5. School Nurse Section: For the school nurse to confirm medication eligibility and details.
What happens if I fail to submit this form?
Failure to submit this form may result in your child not receiving necessary medications during school hours. This can lead to health complications for students who rely on medications for various conditions.
- Health Risks: Students may experience health issues if medication isn't administered.
- School Policy Compliance: Not submitting may breach school policies regarding student safety.
- Legal Implications: Without proper authorization, administering medication could lead to legal consequences.
How do I know when to use this form?
- 1. Emergency Medication: Use this form for students needing emergency medications like EpiPens.
- 2. Routine Medication: Submit this form for students who take regular medications during school.
- 3. Medication Change: Complete the form whenever there is a change in a student's medication regimen.
Frequently Asked Questions
What is the purpose of this form?
This form allows parents to authorize medication administration for their children during school hours.
How do I access this form?
You can download the form directly from our website.
Can I edit the PDF?
Yes, you can use our PDF editor to make any necessary edits before downloading.
How do I submit the completed form?
Submit the completed form to your child's school nurse.
Is there a deadline for submitting the form?
Yes, this form must be submitted each school year or whenever there is a change in medication.
Can I use this form for over-the-counter medications?
Yes, the form can be used for both prescription and over-the-counter medications with the necessary authorizations.
What if I forget to fill out the form?
Failure to submit the form may delay the administration of necessary medications.
Who must sign the form?
Both the parent/guardian and the authorized prescriber must sign the form.
What happens if the medication needs to change?
A new form must be completed whenever there is a change in a student's medication regimen.
Where can I find additional assistance?
For further assistance, you can contact your child's school health office.
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