Get Az Dhs Ccl Form 302 2011-2025

Filling out the AZ DHS CCL Form 302 online is a straightforward process that ensures proper medication administration for children in care. This guide will walk you through each section of the form, providing clear instructions to support you in completing it successfully.

Follow the steps to fill out the AZ DHS CCL Form 302 correctly.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the child's first and last name in the designated field. This is crucial for identifying the correct recipient of the medication.
3. Input the type or name of the medication in the prescribed section, ensuring that it matches the medication being administered.
4. Record the prescription number provided on the medication container. This information helps verify the medication's legitimacy and details.
5. Fill in the dosage required for the medication. This section ensures accuracy in administration.
6. Indicate the start date for the medication administration. This will guide caregivers on when to begin the treatment.
7. Specify the end date for the medication. This clarifies how long the child will need to take the medication.
8. Detail the times and frequency at which the medication should be given. This helps maintain a consistent administration schedule.
9. Select the route of administration (method), such as oral or injection. If applicable, attach any health care provider’s written authorization for injections.
10. Provide the reason for administering the medication. This information is important for staff understanding.
11. Date your authorization in the designated field, confirming your consent for the administration.
12. Ensure to sign your name as the parent or guardian. This signature validates your permission.
13. Review the possible side effects listed and ensure you're aware of what to watch for while administering the medication.
14. The form includes a section for staff review; hit the approval checks as necessary for confirmation of completion.
15. Finally, save your changes, and download, print, or share the completed form as needed.

Complete your AZ DHS CCL Form 302 online today to ensure proper medication administration for your child.