Get Ny Ocfs-ldss-7002 2015-2025

The NY OCFS-LDSS-7002 is a medication consent form designed for child day care programs. This guide provides clear, step-by-step instructions to help users fill out this form effectively, ensuring that all necessary information is provided for the safe administration of medications to children.

Follow the steps to complete the NY OCFS-LDSS-7002 online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by completing section #1 with the child’s first and last name, followed by the date of birth in section #2.
3. Input the child's known allergies in section #3.
4. List the name of the medication, including its strength, in section #4.
5. Indicate the amount or dosage to be given in section #5.
6. Specify the route of administration in section #6.
7. Complete section #7A or section #7B to indicate the frequency or symptoms that necessitate medication administration.
8. List possible side effects in section #8A and additional side effects in section #8B.
9. In section #9, outline what action the child care provider should take if side effects are noted.
10. Provide any special instructions in section #10A or section #10B.
11. State the reason for medication in section #11.
12. Answer whether the child has a chronic condition in section #12 and complete sections #33 and #35 if applicable.
13. Indicate if this is a change in a previous medication order in section #13 and complete sections #34-#35 if applicable.
14. Fill out the date authorized in section #14 and include the prescriber’s information in sections #16 and #18.
15. The parent should complete their section (#19 - #23) next, providing authorization for administration and their signature.
16. The child day care program staff should verify all information in sections #24 - #30, ensuring completeness and signing as necessary.
17. Complete sections #31 and #32 only if the parent requests to discontinue the medication before the specified date.
18. Finally, review the information entered, then save changes, download, print, or share the form as needed.

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