Get Medication Authorization Form - Richmont

Filling out the Medication Authorization Form - Richmont online is a straightforward process that ensures your child receives the necessary medications while in care. This guide provides step-by-step instructions to help you accurately complete the form, from providing your child's information to authorizing medication administration.

Follow the steps to complete the Medication Authorization Form online.

1. Press the ‘Get Form’ button to access the Medication Authorization Form and open it in your preferred editing tool.
2. Begin with Section A, which must be filled out by the parent or guardian. Enter the child’s name in the designated space to ensure proper identification.
3. Next, provide your permission by clearly writing your name in the space for the child care provider. This indicates your consent for them to administer the medication.
4. In the 'Medication name' field, fill in the specific name of the medication that you authorize for your child.
5. Indicate the dosage and times the medication should be administered. It is important to be precise to avoid any misunderstandings.
6. Provide any special instructions in the designated area to address specific needs or considerations related to the medication.
7. Complete the authorization period by specifying the start and end dates for which the medication can be administered. Ensure that the duration does not exceed ten working days if necessary.
8. Sign and date the form in the parent or guardian signature section to validate the authorization.
9. If the medication requires a long-term authorization exceeding ten working days, Section B must be filled out by your child’s physician. Ensure they enter their certification, medication details, dosage, and any special instructions as necessary.
10. Finally, ensure all sections are complete, and then choose to save changes, download, print, or share the form as needed.

Complete your Medication Authorization Form online today to ensure your child's medication needs are met!