Get Authorization To Administer Medication - Child Care Centers Dcf-f Cfs-0059 Pdf Form For Web

Filling out the Authorization To Administer Medication form is essential for ensuring your child's medication is safely and effectively managed at child care centers. This guide will help you navigate the process online with clear, step-by-step instructions.

Follow the steps to complete the form accurately and efficiently.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. In Section A, provide the name of the child care center and the child's full name along with their birthdate in the specified format (mm/dd/yyyy). This section identifies the child and the facility responsible for their care.
3. Move to Section B to enter medication information. Ensure that the medication is in its original container with the child's name clearly labeled. Fill in the name of the medication, the dosage, and the directions for administration. Specify the time period during which the medication will be administered, including the start and end dates.
4. Clearly indicate the times of day for administering the medication, choosing between AM and PM as necessary. This will assist staff in following the prescribed schedule accurately.
5. If the medication is over-the-counter, check 'Yes' or 'No' to indicate whether the label advises consulting with a physician. If you selected 'Yes', confirm that you have consulted with your child's physician and are authorizing a dosage consistent with their recommendation.
6. Provide any additional information or special instructions relevant to the child's medication in the designated area. This may include contraindications or specific circumstances that need to be considered.
7. In Section C, authorize the administration of the medication by signing the form with your name and date of signature. Ensure all details are correct before submitting.
8. After you have completed all sections of the form, save your changes. You can then download, print, or share the form as needed, ensuring it is correctly filed in your child's records.

Complete the Authorization To Administer Medication form online to ensure your child’s needs are met efficiently.