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Authorization administer medication form

Authorization to Administer Medication - Child Care Centers, DCF-F-CFS0059 2025

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The document provides guidelines for the mandatory use of a medication authorization form for licensed family child care centers in Wisconsin, ensuring compliance with state regulations. It outlines the process for parents to authorize the administration of prescription and non-prescription medications to children in care, detailing requirements for documentation and record-keeping. The form is voluntary for group child care centers and day camps but still meets regulatory standards. It emphasizes the importance of proper labeling, dosage instructions, and parental consent.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out Section A, which includes the Facility and Child Information. Enter the Child Care Center Name, Child's Name, and Birthdate.
Proceed to Section B for Medication Information. Input the medication name, dosage, administration times, and period. Ensure that the medication is in its original container with proper labeling.
If applicable, indicate whether a physician consultation is required for over-the-counter medications. Provide any additional information or special instructions as needed.
In Section C, have the parent or guardian sign and date the authorization to administer medication.
For certified child care providers, complete the Documentation of Medication Administration section by logging each instance of medication given, including date, time, dosage, and signature of the administrator.

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Versions	Form popularity	Fillable & printable
2023	4.1 Satisfied (53 Votes)
2020	4.3 Satisfied (29 Votes)
2010	4.3 Satisfied (46 Votes)
2009	4.4 Satisfied (35 Votes)

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Can medications be stored in any container and should be labeled with just the childs first name True or false?

Storing Medications Non-expired medications must be kept in the original pharmacy or manufacturer labeled containers. Prescription medications must contain the original pharmacy label including the students name, name of the medication, dosage, time for administering, expiration date and name of the medical provider.

What are the requirements around administering medication to a child?

Written consent must be provided from the parent, permitting child care facility personnel to administer medications to the child. Instructions shall not conflict with the prescription label or product label directions.

How should a childcare employee administer medication to a child and/or how to properly store medication in a childcare facility?

Refrigerated medications must be stored in spill-proof containers separate from food and be inaccessible to children in the refrigerator. You must administer it correctly: Thoroughly discuss with parents regarding when and how to administer medication.

Do true or false parents guardians complete the medication administration form?

There must be written parent/guardian permission to give the specific medication. This written permission must be in the form of a signed Medication Administration Record (MAR). Parent/Guardian permission in any other form is not acceptable.

Which prior to medication being administered in a childcare facility must have a blank signed by the parent or guardian?

Before administering medication in a child care facility, a medication administration form signed by the parent or guardian is required. This form ensures informed consent and proper documentation of the childs medications. Therefore, the correct answer is option (a) Medication administration form.

What is a child care authorization form from a referring agency?

What is a Child Care Authorization Form? A Child Care Authorization is a form that allows someone to temporarily care for or make decisions about your child, such as allowing your nanny to pick up your child from daycare.

Authorization to Administer Medication - Child Care Centers, DCF-F-CFS0059 2025

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Got questions?

Can medications be stored in any container and should be labeled with just the childs first name True or false?

What are the requirements around administering medication to a child?

How should a childcare employee administer medication to a child and/or how to properly store medication in a childcare facility?

Do true or false parents guardians complete the medication administration form?

Which prior to medication being administered in a childcare facility must have a blank signed by the parent or guardian?

People also ask

What is a child care authorization form from a referring agency?

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Authorization to Administer Medication - Child Care Centers, DCF-F-CFS0059 2025

Here's how it works

How to use or fill out Authorization to Administer Medication - Child Care Centers, DCF-F-CFS0059 with our platform

See more Authorization to Administer Medication - Child Care Centers, DCF-F-CFS0059 versions

Complete this form in 5 minutes or less

Got questions?

Can medications be stored in any container and should be labeled with just the childs first name True or false?

What are the requirements around administering medication to a child?

How should a childcare employee administer medication to a child and/or how to properly store medication in a childcare facility?

Do true or false parents guardians complete the medication administration form?

Which prior to medication being administered in a childcare facility must have a blank signed by the parent or guardian?

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People also ask

What is a child care authorization form from a referring agency?

Related links

Try more PDF tools