PERMISSION TO ADMINISTER PRESCRIPTION MEDICATION - co olmsted mn 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the date at the top of the form. This is essential for record-keeping.
3. In the first section, provide the name of the day care provider who will administer the medication.
4. Next, fill in your child's name in the designated field to specify who will receive the medication.
5. Sign the form as a parent or guardian to authorize medication administration.
6. Complete the prescription number and doctor's name fields to ensure proper identification of the medication.
7. Indicate the duration for which the medicine should be administered by filling in both start and end dates.
8. Finally, specify the dosage required for your child, ensuring clarity for safe administration.

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