MEDICATION AUTHORIZATION FORM- SAMPLEThis is an editable Google Doc- download, edit, (verify), print, post, and use! The wording used is common, but I'm no school attorney, so you'll want to verify with yours prior to using. There are spaces available for the prescribing physician to list the name of the medication, dosage, route, time, desired benefits, potential side effect and more. There are also spaces for physician and parent signatures.YOU MIGHT ALSO BE INTERESTED IN THESE PRODUCTSAll Thi