Get Authorization To Apply A Non-prescription Topical Skin Product - Dss Virginia

Filling out the Authorization To Apply A Non-Prescription Topical Skin Product form is an important step for parents who want to ensure that non-prescription topical products can be safely applied to their child while in care. This guide provides clear instructions for completing the form online.

Follow the steps to fill out the form accurately and efficiently.

1. Click ‘Get Form’ button to access the document and open it in your browser.
2. In the first section of the form, enter the name of the provider who will be applying the topical product in the designated space.
3. Next, provide the name of your child in the appropriate field.
4. Write the name of the non-prescription topical skin product you authorize to be used.
5. If your child has any known adverse reactions to products, list them in the specified area.
6. Ensure that you have provided the product in its original container, labeled with your child's name, and confirm that the manufacturer's instructions will be followed.
7. Note that the product cannot be used after its expiration date; ensure you check this before signing.
8. For sunscreen, verify that the product has a minimum SPF of 15.
9. Indicate the effective date of this authorization, ensuring it does not exceed one calendar year from the date you sign.
10. Finally, sign and date the form at the bottom to complete your authorization.
11. After filling out the form, you can save the changes, download a copy, print it out, or share it as necessary.

Complete the Authorization To Apply A Non-Prescription Topical Skin Product form online today to ensure your child's care provider has your permission.