Illinois school medication authorization form

• [DOCX File]Parkland Preparatory Academy

  https://info.5y1.org/illinois-school-medication-authorization-form_1_cbb78e.html

  any prescription or non-prescription medication unless the Authorization and Permission for Administration of Medication form has been filed with Parkland Preparatory Academy, reviewed by a Registered Nurse and placed within the student’s file.

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• [DOC File]cjbschool.org

  https://info.5y1.org/illinois-school-medication-authorization-form_1_012182.html

  Non-prescription medication (Tylenol, Advil, vitamins, etc.) may not be administered without physician authorization. Prescribed antibiotics may be given with a physician’s note, but need to be in a properly labeled pharmacy container that can remain at the school. Epi-Pens and inhalers require a separate authorization form.

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• [DOCX File]IMSA Home - Illinois Mathematics and Science Academy

  https://info.5y1.org/illinois-school-medication-authorization-form_1_79dd33.html

  ILLINOIS MATHEMATICS AND SCIENCE ACADEMY. Phone: (630)907-5008. School Medication Authorization Form. Fax: (630)907-5938. Revised 3/10/2015

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• [DOCX File]Bloomington Public Schools/District #87

  https://info.5y1.org/illinois-school-medication-authorization-form_1_8418c6.html

  Medication Authorization Form. Name: _____ Date of Birth: _____ Last, First, Middle Initial) As the parent/guardian, I understand that it is the policy of the district that as a regular and normal practice, medication should not be administered to a student at school or when such student is involved in school activities. ... Illinois law ...

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• [DOCX File]Knoxville School District 202

  https://info.5y1.org/illinois-school-medication-authorization-form_1_b9934f.html

  School Medication Authorization Form. Prescription Medications. Fax: 309-289-9300. To be completed by . P. rescriber ’s office & Parent: This form is valid . for. ... Illinois Law requires the school district to inform parents, guardians that its employees incur no liability, except for willful and wanton conduct, as a result of any injury ...

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• [DOC File]ILLINOIS FOOD ALLERGY EMERGENCY PLAN

  https://info.5y1.org/illinois-school-medication-authorization-form_1_050c9e.html

  ILLINOIS FOOD ALLERGY EMERGENCY ACTION PLAN . AND TREATMENT AUTHORIZATION. NAME: D.O.B: / / TEACHER: GRADE: ... I hereby authorize the school district staff members to take whatever action in their judgment may be necessary in supplying emergency medical services consistent with this plan, including the administration of medication …

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• [DOC File]Medical Emergency Response Plan for Schools

  https://info.5y1.org/illinois-school-medication-authorization-form_1_39da55.html

  The parent or guardian and licensed medical professional, as indicated, must complete the appropriate authorization form. The school shall contact EMS IMMEDIATELY (if available, send another staff person to dial 911) and the parent or guardian when a student has been given epinephrine. Inhalers:

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• [DOCX File]Galena High School

  https://info.5y1.org/illinois-school-medication-authorization-form_1_4b31d7.html

  School Medication Authorization Form. To be completed by the child’s parent(s)/guardian(s). A new form must be completed every school year. Keep in the school . nurse’s office or, in the absence of a school nurse, the Building Principal’s office.

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• [DOCX File]Cardinal Joseph Bernardin Catholic School

  https://info.5y1.org/illinois-school-medication-authorization-form_1_edfcfc.html

  MEDICATION AUTHORIZATION FORM. SCHOOL, , ILLINOIS. Student Name (Last, First, Middle) Date of Birth Grade Date. Medications may be administered in school in accordance with the School Medication Procedures.

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• [DOC File]Checklist for Verification of Staff Authorized

  https://info.5y1.org/illinois-school-medication-authorization-form_1_609726.html

  Note: Complete one form for each staff for whom the agency is documenting and/or requesting authorization to administer medication. If required by BQM, submit completed forms with supporting documentation listed in Part B to Bureau of Quality Management via fax (217-782-9444) or mail (319 East Madison, Suite 4J, Springfield, IL 62701).

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