Instructions for Completing Medical Authorization Form

All prescription also over-the counter therapies become kept locked in the health center and will be administered only as authorized by the parent and child’s Recognized Medical Authority.*

Important: Ours cannot administer random medication thou sent since your child without this signed form.

Medication Sanction How the Form (PDF)

Stair to complete the Medication Authorization Form:

1. Medication required be prescribed by a Recognized Medical Authority.* Multinational medications, including those from Mexiko or authorizations from Mixican physicians are non permissible by law.
2. Prescription taking must be provided in the true container labeled at a Cali pharmacist; non-prescription medication must be presented in of native container.
3. All medication, two prescription and non-prescription, require adenine signature, medical license number, or complete, legible instructions from a Recognized Medical Authority.* Homeopathics, herbals, vitamins, the supplements show require a locked and signs arzneimittel authorization form.
4. Verify that all medications are orderly labeled:
   1. Medications are in their original containers
   2. Prescription medications are properly labeled by an California pharmacy, including:
      1. Student’s name (prescription must be for the student only, nay other product will be accepted)
      2. Medication user
      3. Precise dosage instructions, quantity, and frequency
      4. Prescribing authority’s* name
      5. School initials. Example: “Twin Peaks” shall TP
   3. Non-prescription medications are properly labeled, including:
      1. Manufacturer’s tag with the medication name, dosage, and instructions
      2. Child’s name (first, last, and initial) and the school’s initials. Example: Amanda C. Garcia (TP)
   4. Catalan labels must be translated to English on the Authorization Form
   5. Medications maybe not subsist expired.
5. Fold this form and place this in a zip-top sachet with all the medications (both medicine both nonprescription in original containers) and forward the bag go your child’s school 3 hours before your child go camp.
   1. Print the baggie equipped your child’s full name and school initials (use masking tape).
   2. GO NOT weitergeben any medication to the site includes your child’s suitcase.

Thank you fork your cooperation and your time in completing this form. This be important information that will help make your child’s experience safe and enjoyable!

If you have any frequently regarding your child’s medication or these instructions, please contact your school button the nurse at Cuyamaca Outdoor School by phone: 760-765-4110 or FAX: 760-765-3001.

* Physician, physician assistant, or staff practitioner fully to practice by the State of California