Title Page
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Site conducted
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Conducted on
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Prepared by
Medication Consent
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Name of child
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Type of medication
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Reason for medication
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Time/s to administer medication
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Staff sign
-
Parent sign
This form is to be completed when a child brings medication onsite to Premium Kids Care and is to administered by staff
Title Page
Site conducted
Conducted on
Prepared by
Medication Consent
Name of child
Type of medication
Reason for medication
Time/s to administer medication
Staff sign
Parent sign
Medication Consent Form
This form is to be completed when a child brings medication onsite to Premium Kids Care and is to administered by staff