• Completed Medication Authorization Form

  • Make sure all 5 Rights are listed
  • Make sure both physician and parent consent is clear
• Each medicine must be delivered to school in a separate container labeled by a pharmacist licensed in the United States.
• Count and label medication.  Log each dose given.
• Return all discontinued, outdated, and/or unused medicine before the end of the school year.

Medication Authorization Form

• Make sure all 5 Rights are listed
• Make sure both physician and parent consent is clear

• Each medicine must be delivered to school in a separate container labeled by a pharmacist licensed in the United States.
• Count and label medication.  Log each dose given.
• Return all discontinued, outdated, and/or unused medicine before the end of the school year.

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