Get Jfs 01217

This guide provides clear and supportive steps to help you accurately complete the Jfs 01217 form, which is essential for requesting the administration of medication in child care settings. By following these instructions, you can ensure that all necessary information is submitted correctly and efficiently.

Follow the steps to successfully complete the Jfs 01217 form online.

1. Press the ‘Get Form’ button to access the Jfs 01217 form and open it in your online editor.
2. In Box 1, the parent or guardian must check all applicable options regarding the type of medication, including prescription, nonprescription, refrigeration needs, topical products, food supplements, and modified diets.
3. Complete the required fields in Box 1: enter the child's name, date of birth, and weight, as well as the name of the medication and the exact dosage.
4. Indicate the timing for medication administration, specifying times and the period during which the medication should be given.
5. Ensure the parent or guardian signs and dates Box 1 to validate the request.
6. For Box 2, have a licensed physician, dentist, or advanced practice nurse complete the necessary information, including their name, the medication prescribed, dosing instructions, side effects to monitor, and expiration date.
7. In Box 3, child care center or Type A home staff must document each medication administration, including the name of the child, the date and time of dosage, the medication given, and the dosage amount.
8. After completing all sections, save your changes, and download or print the completed form for your records or to submit as required.

Complete your Jfs 01217 form online to ensure a smooth process for medication administration in child care settings.