Get the free daycare medication form

DEPARTMENT OF CHILDREN AND FAMILIES Division of Early Care and Education DCF.Wisconsin.gov AUTHORIZATION TO ADMINISTER MEDICATION CHILD CARE CENTERS MEDICATION INFORMATION AND AUTHORIZATION A. FACILITY

How to fill out daycare medication form

How to fill out daycare medication form:

1. Start by providing your personal information such as your name, contact details, and relationship to the child receiving daycare.
2. Fill in the child's details including their name, date of birth, and any allergies or medical conditions they have.
3. Specify the medication being administered by writing down its name, dosage, and frequency of administration.
4. Indicate the time of day the medication needs to be administered and any special instructions or precautions that should be followed.
5. Include any additional medications or supplements the child is currently taking, along with their dosage and frequency.
6. If necessary, describe any potential side effects or adverse reactions that should be monitored.
7. Provide emergency contact information in case of any complications or questions regarding the medication.
8. Sign and date the form to indicate your consent and understanding of the information provided.

Who needs daycare medication form:

1. Any child attending daycare who requires medication administration during their time there.
2. Parents or legal guardians of the child who need to provide necessary information and consent for medication administration.
3. Daycare providers or staff responsible for ensuring the child's safety and well-being while administering medication.

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What is daycare medication form?

A daycare medication form is a document used by childcare facilities to obtain permission from parents or guardians to administer medication to a child while in their care.

Who is required to file daycare medication form?

Parents or guardians of children who need to receive medication during daycare hours are required to file a daycare medication form.

How to fill out daycare medication form?

To fill out a daycare medication form, a parent or guardian must provide details such as the child's name, the name and dosage of the medication, the times it should be administered, and any specific instructions or potential side effects.

What is the purpose of daycare medication form?

The purpose of the daycare medication form is to ensure that caregivers have the necessary permissions and instructions to safely administer medication to children, while also keeping track of what medications are given.

What information must be reported on daycare medication form?

The information that must be reported on the daycare medication form includes the child's name, medication name, dosage, administration times, any special instructions, and the parent's or guardian's signature.