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OCFS-LDSS-7002 11/2004 NEW YORK STATE OFFICE OF CHILDREN AND FAMILY SERVICES WRITTEN MEDICATION CONSENT FORM This form must be completed in a language in which the child care provider is literate. One form must be completed for each medication. Multiple medications cannot be listed on one consent form. LICENSED AUTHORIZED PRESCRIBER MUST COMPLETE THIS SECTION 1 - 18 Parents may complete 1- 17 omit 18 for over-the-counter topical ointments sunscreen and topically applied insect repellent 1....
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How to fill out ocfs-ldss-7002 written medication consent
01
Read the instructions provided with the ocfs-ldss-7002 written medication consent form.
02
Fill out the personal information section accurately, including the child's name, date of birth, and social security number.
03
Specify the medication to be administered and provide dosage instructions.
04
Include any additional instructions or restrictions related to the medication.
05
Sign and date the form.
06
If applicable, have a healthcare provider or physician sign and stamp the form.
07
Submit the completed form to the appropriate authority as instructed.
Who needs ocfs-ldss-7002 written medication consent?
01
Parents or legal guardians of children who require medication during their time in a childcare or daycare program.
02
Childcare providers or administrators who are responsible for administering medication to children in their care.
03
Healthcare providers or physicians who need to authorize and provide instructions for medication administration in a childcare or daycare setting.
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What is ocfs-ldss-7002 written medication consent?
ocfs-ldss-7002 written medication consent is a form used to obtain consent for administering medication to individuals under the care of a social services agency.
Who is required to file ocfs-ldss-7002 written medication consent?
Caregivers or social services agencies responsible for administering medication to individuals are required to file ocfs-ldss-7002 written medication consent.
How to fill out ocfs-ldss-7002 written medication consent?
ocfs-ldss-7002 written medication consent should be filled out by providing the necessary information about the individual receiving medication, the medication being administered, and obtaining consent signatures.
What is the purpose of ocfs-ldss-7002 written medication consent?
The purpose of ocfs-ldss-7002 written medication consent is to ensure that proper consent is obtained before administering medication to individuals under the care of a social services agency.
What information must be reported on ocfs-ldss-7002 written medication consent?
Information such as the individual's name, date of birth, medication name, dosage, schedule, and any known allergies or adverse reactions must be reported on ocfs-ldss-7002 written medication consent.
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