MEDICATION PERMISSION AND INSTRUCTIONS CHILD CARE HOMES Child Care Licensing - Arkansas Department o 2026

1. Click ‘Get Form’ to open it in the editor.
2. In the first section, enter the caregiver's name and facility where the medication will be administered. This ensures clarity on who is responsible for giving the medication.
3. Next, fill in your child's name and specify the medication, whether it's prescribed or over-the-counter. This information is crucial for proper administration.
4. Provide detailed directions including the start date, stop date, times for administration, dosage amount, and any special storage instructions. Each field must be completed accurately to ensure safety.
5. Sign and date the form at the bottom to authorize the caregiver to administer the medication.
6. The caregiver should then complete their section by recording the date, time of administration, amount given, and their signature after each dose.

Start using our platform today to easily fill out and manage your Medication Permission forms for free!