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Get Wi Dcf-f-cfs0059 2020-2026
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How to fill out the WI DCF-F-CFS0059 online
Filling out the WI DCF-F-CFS0059 form is an important step in ensuring that your child receives appropriate medication while in a child care setting. This guide will provide you with clear, step-by-step instructions to help you complete the form accurately and efficiently.
Follow the steps to complete the form successfully.
- Click ‘Get Form’ button to access the form and open it for editing.
- In section A, provide the name of the child care center and the child's name, followed by their birthdate in the specified format (mm/dd/yyyy).
- In section B, enter the medication information. Ensure that the medication is in its original container and appropriately labeled with the child's name. Fill in the fields for the name of the medication, dosage, and the instructions for administration.
- Specify the time period for the medication by entering the start and end dates. Indicate the times of day when the medication is to be administered, marking AM or PM accordingly.
- If the medication is over-the-counter (OTC), answer the question regarding consultation with your child’s physician. If you select 'Yes,' ensure that you have consulted the physician and are following their recommendations for dosage.
- In the additional information section, provide any necessary instructions or contraindications related to the medication.
- In section C, sign the form indicating your authorization for the administration of the above medication to your child by the child care center staff. Enter the date of signing.
- Once all fields are completed, save your changes. You may download, print, or share the form as needed.
Complete your forms online today to ensure timely and accurate medication administration for your child!
Related links form
Telephone - You may call the FIS customer service line (1.877. 201.7601) and pay over the phone. It is important to have your card number with you before making the call.