Prescription Medications:
Must have a current pharmacist’s label that includes:
01) Child’s full name
02) Dosage
03) Current date
04) Times to be administered
05) The name and telephone number of the physician.
Non-prescription Medication:
Can be administered according to the manufacturer’s instructions with written authorization from the parent/guardian via this form.
Topical Ointments:
Can be administered according to the manufacturer’s instructions with written authorization from the parent/guardian via this form.