Get Ccfl Cc 103b - Administration Of Medication Consent Form -

Filling out the CCFL CC 103b - Administration Of Medication Consent Form - online is a straightforward process that ensures your child receives their medication safely in a childcare setting. This guide will provide you with clear, step-by-step instructions for completing each section of the form.

Follow the steps to complete the form effectively.

1. Click ‘Get Form’ button to access the form and open it in the online editor.
2. Enter your child's name in the designated field. Ensure accuracy when typing the name to avoid any misunderstandings.
3. In the physician’s name field, input the name of the medical professional prescribing the medication.
4. Provide the physician's phone number for any necessary follow-up regarding the medication.
5. Fill in the pharmacy name where the prescription can be filled, along with its phone number for contact.
6. Detail the medication name prescribed for your child.
7. Enter the prescription number associated with the medication to assist in identification.
8. Specify the dosage of the medication as instructed by the physician.
9. Indicate whether this medication has previously been administered to your child by selecting 'Yes' or 'No'.
10. If 'No' is selected, confirm whether your child has received medication within the past 24 hours before returning to childcare.
11. Outline the specific times the medication should be given by you (the parent) and those to be given by the care provider.
12. Note any possible side effects that have been communicated to you by the physician or pharmacy.
13. Authorize the individual who will administer the medication by signing your name in the designated area.
14. Date the form to indicate when permission is granted.
15. Provide your contact phone number for any further inquiries or clarifications.
16. Record the amount of medication given and by whom it was administered in the 'Caregiver’s Administration Record' section.
17. Finally, review all entered information for accuracy before saving or downloading the completed form.

Complete your CCFL CC 103b - Administration Of Medication Consent Form - online today for your child's safety.