This form is a generic example that may be referred to when preparing such a form for your particular state. It is for illustrative purposes only. Local laws should be consulted to determine any specific requirements for such a form in a particular jurisdiction.
Wake North Carolina Authorization to Administer Medicine to Student at School — Patient Consent is a legal document that grants permission to school personnel to administer medication to a student during school hours. This authorization ensures the student's safety and well-being while managing their medical condition or responding to emergencies. In Wake County, North Carolina, there are two types of Authorization to Administer Medicine to Student at School — Patient Consent: 1. General Authorization to Administer Medicine to Student at School — Patient Consent: This form is used for students who require regular or ongoing medication administration during school hours. It covers medication such as asthma inhalers, insulin injections, EpiPen, and other prescribed medications. Parents or legal guardians must complete this form accurately, providing details of the medication, dosage, administration instructions, and any potential side effects. The form should be signed and dated by the parent/guardian and the student's healthcare provider. 2. Emergency Authorization to Administer Medicine to Student at School — Patient Consent: This form is used in urgent situations when a student may need immediate medication administration due to a sudden medical condition or emergency. It allows designated school personnel to administer medication like rescue inhalers, auto-injectable epinephrine, or specific emergency medications. The parent/guardian must complete this form with accurate information about the student's medical condition, emergency contact details, dosage instructions, and precautions. Both the parent/guardian and the healthcare provider need to sign and date this form. This Authorization to Administer Medicine to Student at School — Patient Consent forms are crucial for maintaining the health and safety of students in Wake County schools. By completing and submitting these forms, parents/guardians provide clear instructions and consent for school staff to administer medication, ensuring prompt and appropriate care in case of medical emergencies and routine medication administration. It is vital to update the forms regularly or as needed to reflect any changes in the student's medical condition or prescribed treatments.Wake North Carolina Authorization to Administer Medicine to Student at School — Patient Consent is a legal document that grants permission to school personnel to administer medication to a student during school hours. This authorization ensures the student's safety and well-being while managing their medical condition or responding to emergencies. In Wake County, North Carolina, there are two types of Authorization to Administer Medicine to Student at School — Patient Consent: 1. General Authorization to Administer Medicine to Student at School — Patient Consent: This form is used for students who require regular or ongoing medication administration during school hours. It covers medication such as asthma inhalers, insulin injections, EpiPen, and other prescribed medications. Parents or legal guardians must complete this form accurately, providing details of the medication, dosage, administration instructions, and any potential side effects. The form should be signed and dated by the parent/guardian and the student's healthcare provider. 2. Emergency Authorization to Administer Medicine to Student at School — Patient Consent: This form is used in urgent situations when a student may need immediate medication administration due to a sudden medical condition or emergency. It allows designated school personnel to administer medication like rescue inhalers, auto-injectable epinephrine, or specific emergency medications. The parent/guardian must complete this form with accurate information about the student's medical condition, emergency contact details, dosage instructions, and precautions. Both the parent/guardian and the healthcare provider need to sign and date this form. This Authorization to Administer Medicine to Student at School — Patient Consent forms are crucial for maintaining the health and safety of students in Wake County schools. By completing and submitting these forms, parents/guardians provide clear instructions and consent for school staff to administer medication, ensuring prompt and appropriate care in case of medical emergencies and routine medication administration. It is vital to update the forms regularly or as needed to reflect any changes in the student's medical condition or prescribed treatments.
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.
