YMCA Prescription Non-Prescription Medication Authorization free printable template

Parent Information about Medication Procedures 1. Medications should be taken at home whenever possible. Any medication taken in a YMCA Child Care Program must have a parent or guardian signed authorization:

How to fill out ymca prescription form

How to fill out YMCA Prescription & Non-Prescription Medication Authorization

1. Obtain the YMCA Prescription & Non-Prescription Medication Authorization form from your local YMCA or their website.
2. Fill out the child's information at the top of the form, including their name, date of birth, and any relevant medical history.
3. Complete the section for medication details, including the name of the medication, dosage, administration method, and frequency.
4. Provide the start and end dates for the medication authorization, along with any applicable specific instructions.
5. Ensure the form is signed and dated by a parent or guardian, along with the physician's signature if required.
6. Submit the completed form to the YMCA before the child’s attendance or participation in the program.

Who needs YMCA Prescription & Non-Prescription Medication Authorization?

1. Any child who will require medication while attending YMCA programs, including both prescription and non-prescription medications.
2. Parents or guardians of children participating in YMCA activities who wish to authorize medical personnel to administer medications.
3. Children with specific health conditions that necessitate medication during YMCA programs.

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What is YMCA Prescription & Non-Prescription Medication Authorization?

YMCA Prescription & Non-Prescription Medication Authorization is a formal document that allows authorized personnel to administer medications to individuals in a YMCA program. It ensures that the individual receives the correct medication at the right time and dosage.

Who is required to file YMCA Prescription & Non-Prescription Medication Authorization?

Parents or guardians of children participating in YMCA programs, as well as adults who will be taking medication while in a program, are required to file the YMCA Prescription & Non-Prescription Medication Authorization.

How to fill out YMCA Prescription & Non-Prescription Medication Authorization?

To fill out the YMCA Prescription & Non-Prescription Medication Authorization, individuals should provide details such as the participant's name, the name of the medication, dosage, administration schedule, physician's information, and any special instructions for administering the medication.

What is the purpose of YMCA Prescription & Non-Prescription Medication Authorization?

The purpose of the YMCA Prescription & Non-Prescription Medication Authorization is to ensure the safe and appropriate administration of medications to participants, while also protecting the health and welfare of individuals within YMCA programs.

What information must be reported on YMCA Prescription & Non-Prescription Medication Authorization?

The information that must be reported includes the participant's full name, date of birth, medication name, dosage, frequency of administration, physician's details, parent/guardian contact information, and any known allergies or adverse reactions.