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DEPARTMENT OF CHILDREN AND FAMILIES Division of Early Care and Education. Wisconsin.authorization TO ADMINISTER MEDICATION CHILD CARE CENTERS MEDICATION INFORMATION AND AUTHORIZATION A. FACILITY AND
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How to fill out facility and child information:

01
Start by gathering all the necessary information about the facility and the child. This typically includes the facility's name, address, contact information, and any specific details required for registration or enrollment. For the child, you will need their name, date of birth, gender, emergency contact details, and any relevant medical or health information.
02
Once you have all the information ready, open the application form or registration document provided by the facility. Carefully read through the instructions and any guidelines provided to ensure you understand the required information and any specific formatting or documentation required.
03
Begin by entering the facility's information. Fill in the name, address, and contact details accurately. Double-check the information to make sure there are no typos or errors that could cause communication issues later on.
04
Move on to the child's information. Enter their name, ensuring correct spelling and any preferred name they may have. Fill in their date of birth accurately, and select their gender from the options provided, if applicable.
05
Enter the emergency contact details for the child. This includes the names, phone numbers, and relationships of the individuals who should be contacted in case of an emergency.
06
If there are any specific medical conditions, allergies, or important health information about the child, ensure you provide these details appropriately. This information is crucial for the facility staff to ensure the child's safety and well-being.
07
As you progress through the form, carefully review each section before moving on to the next. Ensure all fields are completed accurately and in accordance with any specific instructions mentioned.
08
Finally, review the completed facility and child information before submitting the form. Double-check for any mistakes or omissions and correct them if necessary. Once you are confident that all the information is accurate, submit the form as per the instructions provided by the facility.

Who needs facility and child information:

01
Parents or legal guardians: When enrolling their child in a facility such as a daycare center, preschool, or summer camp, parents or legal guardians are typically responsible for providing detailed facility and child information. This ensures the facility has accurate and up-to-date information to provide proper care and communicate with the parents or guardians as needed.
02
Facility administrators: The staff or administrators of the facility need this information to effectively manage and operate the facility. It helps them keep track of the children under their care, plan activities, and ensures the safety and well-being of each child.
03
Emergency personnel: In case of any emergencies, such as accidents or medical incidents, emergency personnel may require access to the facility and child information. This helps them quickly and accurately address any emergency situations and ensure appropriate care is provided to the child.
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Facility and child information includes details about the location, services, and children served by a facility.
Facilities providing services to children are required to file facility and child information.
Facility and child information can be filled out online or through paper forms provided by the regulatory agency.
The purpose of facility and child information is to ensure compliance with regulations and to track the services provided to children.
Facility information includes location details and services provided, while child information includes demographics and services received.
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