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DPHHS-QAD/CCL-120 (Revision 06-07) NON-INGESTIBLE OVER THE COUNTER (OTC) MEDICATION AUTHORIZATION FORM TO BE COMPLETED BY PARENT Child s Name Date of Birth / / Program Name Today s Date / / *************************************************************************************************

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How to fill out a non-ingestible form:

1. Start by carefully reading all the instructions provided on the form. This will give you a clear understanding of what information is required and how to properly fill out the form.
2. Gather all the necessary documents and details before you begin filling out the form. This may include personal identification information, contact details, or any specific information relevant to the purpose of the form.
3. Pay attention to the format and layout of the form. Ensure that you fill in the information in the correct fields or sections. Use legible handwriting if filling out a physical form, or type the information if submitting an electronic form.
4. Double-check your entries for accuracy and completeness. It is crucial to provide accurate information to ensure that the form is processed correctly. Verify names, dates, and any other crucial details before submitting the form.
5. If there are any optional sections or fields on the form, consider whether providing the additional information would be beneficial in your specific situation. If it is relevant, fill them out accordingly.

Who needs a non-ingestible form:

1. Individuals who are required to provide certain medical information, such as details about their allergies, medications, or medical conditions, may need to fill out a non-ingestible form. This information is often necessary in case of emergencies or medical treatments.
2. Schools, daycare centers, and other educational institutions may require parents or guardians to fill out non-ingestible forms for children with dietary restrictions or specific health needs. These forms help ensure that proper care is provided to the child while they are at the institution.
3. Some workplaces or organizations may require employees or members to fill out non-ingestible forms for safety purposes. For example, employees working in hazardous environments might need to provide information about any pre-existing conditions or medications that could affect their ability to perform their duties safely.

In conclusion, filling out a non-ingestible form requires attention to detail and accurate information. It is necessary for individuals who need to provide specific medical details, parents or guardians of children with dietary restrictions, and employees working in potentially hazardous environments.

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