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DEPARTMENT OF CHILDREN AND FAMILIES Division of Early Care and Education DCF-F (CFS-0059) (R. 02/2009) STATE OF WISCONSIN Page 1 of 2 AUTHORIZATION TO ADMINISTER MEDICATION CHILD CARE CENTERS Use
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How to fill out authorization to administer medication

How to fill out authorization to administer medication:
01
Start by writing your full name and contact information at the top of the form.
02
Indicate the name and contact information of the person for whom you are seeking authorization to administer medication.
03
Specify the relationship you have with the individual and your role in their medical care.
04
Provide a detailed description of the medication(s) that you are seeking authorization to administer. Include the name, dosage, method of administration, and frequency.
05
Explain the reasons why you believe it is necessary for you to administer medication to the individual. Be clear about any previous training or certifications you may have in medication administration.
06
Include any additional information or documentation that supports your request for authorization. This may include medical records, doctor's notes, or consent forms.
07
Sign and date the authorization form, indicating your agreement to follow all relevant laws and guidelines regarding medication administration.
Who needs authorization to administer medication:
01
Healthcare professionals: Doctors, nurses, and other healthcare professionals require authorization to administer medication as part of their standard practice. This is typically obtained through their professional licensure or certification.
02
Caregivers: Individuals who provide care for a person with a medical condition or disability may need authorization to administer medication. This is often obtained through a legal guardianship or power of attorney.
03
School personnel: In school settings, certain designated staff members may need authorization to administer medication to students. This is usually obtained through school policies and procedures, as well as parental consent.
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What is authorization to administer medication?
Authorization to administer medication is a document that allows an individual to legally dispense or administer medication to another person.
Who is required to file authorization to administer medication?
Healthcare providers, such as nurses, doctors, and pharmacists, are required to file authorization to administer medication.
How to fill out authorization to administer medication?
Authorization to administer medication is typically filled out by providing personal information, details of the medication to be administered, dosage instructions, and any special considerations or restrictions.
What is the purpose of authorization to administer medication?
The purpose of authorization to administer medication is to ensure that only qualified individuals are allowed to dispense or administer medication to prevent misuse or errors.
What information must be reported on authorization to administer medication?
Information that must be reported on authorization to administer medication includes the name and contact information of the individual authorized to administer medication, details of the medication, dosage instructions, expiration date of authorization, and any special instructions or restrictions.
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