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Rev 10/98 PERMISSION TO ADMINISTER MEDICATION SAMPLE FORM Childcare: Name of Medicine: ...
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Permission to administer medication is a written authorization given to a designated individual to administer medication to a specific individual.
Healthcare professionals such as doctors, nurses, and caregivers are required to file permission to administer medication.
Permission to administer medication needs to be filled out with the specific details of the individual receiving the medication, the medication itself, dosage, and frequency of administration.
The purpose of permission to administer medication is to ensure that the correct medication is given to the correct individual in the correct dosage and frequency.
Information such as the name of the individual receiving the medication, the name of the medication, dosage, frequency, and any special instructions must be reported on permission to administer medication.
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