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Medication (Non-Prescription)
Non-prescription medication (over-the-counter) which is FDA approved can be administered. The Non-Prescription Medication Authorization Form must be on file at school authorizing school personnel to administer (Form 5141.6a)
Non-prescription drugs must come to school in the original manufacturer's packaging with ingredients and recommended therapeutic dose.
Non-prescription medications must be supplied by parent/guardian in the original container with the student's name affixed.
Any non-prescription medication intended for long-term use on a daily basis must be accompanied by a practitioner's signature.
All medication must be supplied by the parent/guardian.
Christ the Lord School Personnel are responsible to log (date/dose/time/initial) medication administered. Personnel will notify the parent/guardian when medication is administered.
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Student name
first and last name
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Student date of birth
month / day / year
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Student grade
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K3
K4
K
1
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Medication
Medication name, dose, route frequency, time/conditions, duration
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Reason for medication
(ex: allergies, cold, migraines, headaches, tooth pain, etc.)
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When to administer
(ex: every day, as needed)
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Specific side effects or considerations
(ex: watch for a rash, keep child calm, etc.)
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