Get Va Medication Consent Form 2015-2025

This guide provides clear and supportive instructions for users on how to complete the VA Medication Consent Form online. With a step-by-step approach, this resource is designed to assist people in accurately filling out the necessary information to ensure safe medication administration.

Follow the steps to complete the form effectively:

1. Press the ‘Get Form’ button to access the VA Medication Consent Form and open it in your preferred online editor.
2. Begin by filling in the child's first and last name in section 1.
3. In section 2, enter the child's date of birth accurately.
4. Document any known allergies of the child in section 3.
5. For section 4, input the name of the medication including its strength.
6. Specify the amount or dosage to be given in section 5.
7. Indicate the route of administration (oral, topical, etc.) in section 6.
8. In section 7A, select the frequency of administration and provide specific times if applicable. If using section 7B, describe any symptoms that would require medication administration.
9. Review possible side effects in section 8, and ensure to attach or provide the package insert if necessary.
10. Outline the actions to be taken if any side effects are observed in section 9.
11. If applicable, fill out any special instructions in section 10 regarding the medication.
12. Provide the reason the child is taking the medication in section 11, unless otherwise confidential.
13. Indicate whether the child has a chronic condition in section 12 and complete the necessary sections if applicable.
14. In section 13, clarify if this consent form reflects a change in a previous medication order.
15. Enter the date consent form is completed in section 14.
16. Specify when the medication is to be discontinued in section 15.
17. Have the prescriber complete their information in sections 16-18 if required for the type of medication.
18. In sections 19-22, the parent or legal guardian must authorize and sign the form for medication administration.
19. If discontinuing medication prior to the set date, fill out section 23 and provide a new parent or guardian signature.
20. If necessary, the licensed authorized prescriber can complete sections 25-27 for additional training or adjustments.
21. Once all sections are complete, ensure all information is accurate and clear before finalizing the form.
22. At the end, save, download, print, or share the completed form as needed.

Complete the VA Medication Consent Form online today to ensure your child's medication is managed safely.