Get Physician's Orders Form - Silver Lake Conference Center - Silverlake Ctucc

The Physician's Orders Form is a crucial document that ensures proper medication administration for campers at Silver Lake Conference Center. This guide will provide you with a clear, step-by-step approach to efficiently fill out this online form.

Follow the steps to complete the form correctly.

1. Press the ‘Get Form’ button to access the Physician's Orders Form and open it in your chosen online editor.
2. Begin by filling in the child's name, date, address, date of birth, city, state, and zip code in the designated fields on the form.
3. List all medications, ensuring that each is in a prescription container. For each medication, provide the name of the drug, indicate if it is a controlled substance by checking the appropriate box, specify the dosage, and describe the method of administration.
4. Next, specify the condition for which the drug is being administered for each medication listed.
5. Indicate if the child is capable of carrying and self-administering any medications, such as an inhaler or epinephrine auto-injector () by circling the corresponding option.
6. The physician must then sign and date the form, adding their printed name and phone number in the designated areas.
7. The parent or guardian will then provide their consent by signing the form, printing their name, and dating the document.
8. Finally, review all information for accuracy before saving your changes, downloading, or printing the completed form for submission.

Complete your documents online to ensure a smooth process for your child's camp experience.