Get Please Complete This Form Hrs Cyf Form 5013, May 82 (replaces Hrs Ses Form 4085 - Achildsplace

This guide provides comprehensive instructions for completing the HRS CYF Form 5013, which is essential for authorizing medication administration in day care settings. By following these steps, you will ensure that all necessary information is accurately provided.

Follow the steps to complete the form successfully.

1. Click ‘Get Form’ button to obtain the form and open it in an online editor.
2. Enter the child's name in the designated field to identify the individual authorizing medication.
3. Specify the name of the medication or provide the prescription number. This is crucial for accurate administration.
4. Indicate the amount of medication to be given. Ensure this is clearly stated to avoid any mistakes.
5. Input the time when the medication is to be given. This helps in maintaining a consistent medication schedule.
6. Fill in the date on which the medication is authorized in the appropriate section.
7. Request the parent's signature to authorize the administration of medication on behalf of the child.
8. Once the medication is administered, the staff member will need to document the date, time, and amount of medication given.
9. The staff member should initial the form to confirm they provided the medication as specified.
10. Review all entries for accuracy before finalizing. Save changes, download, print, or share the completed form as needed.

Complete the HRS CYF Form 5013 online today to ensure proper medication management for your child.