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Child Care Medication Authorization Form
An early learning provider must not give medication to any child without written and signed consent from that children
parent or guardian, must administer
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How to fill out child care medication authorization

How to fill out child care medication authorization
01
Step 1: Obtain the child care medication authorization form from the child care center or provider.
02
Step 2: Fill out the child's name, date of birth, and contact information.
03
Step 3: Provide the name and dosage instructions for each medication that the child needs while in child care.
04
Step 4: Include any special instructions, such as specific times when medication should be administered or restrictions on medication usage.
05
Step 5: Sign and date the form to indicate your consent for the child care center or provider to administer the medications.
06
Step 6: Ensure that you have provided all necessary supporting documents, such as written orders from the child's healthcare provider or a copy of the child's health insurance card.
07
Step 7: Submit the completed child care medication authorization form to the child care center or provider.
Who needs child care medication authorization?
01
Any child who requires medication to be administered while in child care needs a child care medication authorization.
02
This includes children with conditions such as asthma or allergies, as well as those who require daily medication for chronic illnesses.
03
The child care medication authorization form helps ensure that the child care center or provider has the necessary information and consent to safely administer medications to the child.
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What is child care medication authorization?
Child care medication authorization is a form that allows parents to give permission for their child to receive medication while in the care of a child care provider.
Who is required to file child care medication authorization?
Parents or legal guardians of the child are required to file child care medication authorization.
How to fill out child care medication authorization?
Parents or legal guardians can fill out the form by providing their child's information, the name and dosage of the medication, the reason for the medication, and any instructions for administering it.
What is the purpose of child care medication authorization?
The purpose of child care medication authorization is to ensure that child care providers have permission to administer medication to a child when necessary.
What information must be reported on child care medication authorization?
The form must include the child's name, the name and dosage of the medication, the reason for the medication, any known allergies, and instructions for administering the medication.
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