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How to use or fill out Written Medication Consent Form This form must be completed in a language in which the child care provider is literate
- Click ‘Get Form’ to open it in the editor.
- Begin by filling out the child's first and last name, date of birth, and known allergies in sections 1-3.
- In section 4, provide the name of the medication along with its strength. Ensure accuracy for proper administration.
- Specify the amount/dosage to be given in section 5 and select the route of administration in section 6.
- For section 7, indicate either the frequency of administration (7A) or symptoms that necessitate medication (7B).
- Detail possible side effects in section 8, ensuring to attach any necessary documentation as required.
- Complete sections 9 through 23 as instructed, ensuring all information is accurate and complete before submission.
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