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Village of Radcliff Manor Recreation Department PERMISSION FOR MEDICATION AND SELF ADMINISTRATION Name of Camper DOB: / / Camp Attending Address Mothers Name Daytime # Alt. # Fathers Name Daytime
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How to fill out permission for medication:

01
Obtain the medication permission form from the relevant authority or healthcare provider.
02
Read and understand the instructions, terms, and conditions stated in the form.
03
Fill in the required personal information, such as name, date of birth, and contact details.
04
Provide details about the medication, including the name, dosage, and frequency of administration.
05
Specify any potential allergies or adverse reactions to certain medications.
06
Indicate the duration for which the permission is granted, whether it is a one-time authorization or ongoing.
07
Sign and date the form to acknowledge understanding and agreement with the permission being granted.
08
Submit the completed form to the healthcare provider or authority in a timely manner.

Who needs permission for medication:

01
Patients who are minors (under the legal age of majority) usually require permission from their parents or guardians for medication administration.
02
Individuals who are unable to make medical decisions for themselves, such as those with cognitive impairments, may require permission from their legal guardians or designated healthcare proxy.
03
In certain situations, hospitals or long-term care facilities may have their own protocols requiring permission for medication administration from the patient or their designated representative.
Note: The specific requirements for medication permission may vary depending on the jurisdiction and circumstances. It is always advisable to consult with a healthcare professional or legal authority for accurate and up-to-date information.
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