Get Va Written Medication Consent Form

The VA Written Medication Consent Form is essential for ensuring that medication is administered safely and effectively to children in care. This guide provides a clear, step-by-step process for completing the form online, making it user-friendly for all parents and guardians.

Follow the steps to complete the VA Written Medication Consent Form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling out the child's first and last name in the designated field to ensure proper identification.
3. Enter the child's date of birth accurately to confirm their age and eligibility for medication.
4. Fill in the name of the medication, including its strength, to provide clear information on what is being administered.
5. Document any known allergies the child may have, which is critical for preventing adverse reactions.
6. Specify the amount or dosage of the medication to be given to ensure correct administration.
7. Indicate the route of administration (e.g., oral, topical), as this defines how the medication will be delivered.
8. Provide the frequency at which the medication is to be administered, or describe observable symptoms that necessitate its use.
9. List any possible side effects and provide additional side effects if needed. Parents must also supply a package insert for a complete list.
10. State what action the caregiver should take if side effects occur, such as contacting the parent or prescriber.
11. Include any special instructions related to the medication, and attach any relevant package inserts.
12. Explain the reason the child is taking the medication unless restricted by law.
13. Indicate whether there are any changes in medication instructions from previous orders, if applicable.
14. Record the date the consent form is completed to maintain a timeline of medication administration.
15. Specify the date when the medication should be discontinued or the maximum duration for which it will be administered.
16. Print and fill out the prescriber’s name and telephone number where they can be reached.
17. The prescriber must sign the form for long-term medications or if it states 'consult a physician'.
18. Parents must complete sections #19 to #23 to authorize medication administration, including their signature and date.
19. Ensure to fill the sections 24 to 30 by child care providers confirming completion of initial details.
20. If discontinuing the medication, fill out sections #31 and #32 with the necessary details and signatures.
21. Finally, save your changes, and choose to download, print, or share the form as needed.

Complete your VA Written Medication Consent Form online today to ensure your child's health needs are met.