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Medication Authorization

Medication may be given to a child under the following conditions:

1. A medication authorization form signed and dated by the parent is on file. Complete a separate form for each medication.

2. Prescription medication is in the original container and labeled with the child’s name, name of drug, dosage and directions for

administering, date and physician’s name.

3. For chronic medical conditions, a certified child care center may obtain permission for 12 months or less with specific instructions

including when administration is needed, such as inhalers.

4. All medications are inaccessible to children, with child-resistant caps when available, and stored away from food.

5. Medications requiring refrigeration are kept in the refrigerator in a separate tightly covered container with a child‐proof lock or

latch, clearly marked medication.

6. Parents are informed daily of medications administered to their child.

7. Programs must immediately document the administration of any medication.

Time to be given
Time
HoursMinutes

Please leave blank if medication is to be used for allergic reaction only

Does this medication require refrigeration?
Yes
No

An individual Medication Administration Log will be maintained in hard copy at Frolic & Lark and updated each time medication is administered. This log will be available for parent/guardian review upon request.

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Completed medication should be returned to the parent.

This record must be maintained in the child’s file for at least two years.

Frolic and Lark. Play Is For Everyone.
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