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DEPARTMENT OF CHILDREN AND FAMILIES Division of Early Care and Education dcf.wisconsin.gov AUTHORIZATION TO ADMINISTER MEDICATION CHILD CARE CENTERS MEDICATION INFORMATION AND AUTHORIZATION A. FACILITY.

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How to fill out the Daycare Medication Form online

Filling out the Daycare Medication Form online is essential for ensuring that your child receives the proper medication during their time at a childcare facility. This guide will provide clear instructions on how to complete the form accurately and efficiently.

Follow the steps to complete the Daycare Medication Form online

  1. Click ‘Get Form’ button to obtain the form and open it in your editor.
  2. Enter the name of the child care center in the designated field.
  3. Provide the medication information. Ensure the medication is in its original container and labeled with the child's name, dosage, and directions for administration.
  4. Indicate the times of day the medication is to be administered. Check the appropriate boxes for AM and PM as needed.
  5. Answer whether the over-the-counter medication label indicates that the child's physician should be consulted. If 'Yes,' ensure you have consulted with the physician and are following their dosage recommendation.
  6. Provide your initials in the designated space after responding to the physician consultation question.
  7. In the authorization section, confirm you authorize the administration of the medication to your child by signing with your name.
  8. After completing the form, you may save your changes, download, print, or share the completed form as needed.

Complete your documents online to ensure your child's access to necessary medication.

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8. A written statement from an authorized health care provider not be required when a parent, guardian, or designee administers medication to their child in school.

Your child care program should set a policy about whether doctor's permission is required to give children over-the-counter medications. Antihistamines. Non-aspirin pain relievers and fever reducers. Cough medicine. Decongestants. Anti-itching creams. Diaper ointments and powders. Sunscreen. Insect repellent.

Written consent must be provided from the parent, permitting child care facility personnel to administer medications to the child. Instructions shall not conflict with the prescription label or product label directions. Upon completion, return medicine to parent or destroy, and place form in child's record.

Prescription medication must be labeled with: child's first and last name, the date the prescription was filled, the name and contact information of the prescribing health professional, the expiration date, dosage amount, length of time to give the medication, and instructions for administration and storage.

Always check the patient's name, ID band if appropriate, and check medication container before giving a medication. Is this the medication that was prescribed or ordered? Is the medication the right strength? How much should be given?

Always require a signed release form. The form should include the child's name, name of the medication, the dosage, and exactly what time the medicine should be given.

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