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Get Child Care Medication Authorization Form

Guardian. All medication must be in the original container with the child's name, name of the physician, medication name, and medication directions written on the label. Non prescription medication brought in by the parent or legal guardian can only be dispensed if there is written authorization from the parent or legal guardian to do so. Medication which has expired or is no longer being administered shall be returned to the parent or legal guardian. Child's Name: Age: 1. Medication Name: A.

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