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Daycare OTC Medication Form Mobile App

Any parent who has a child in daycare knows how dangerous it can be to have someone else dispense medication for your child. But with the Daycare OTC Medication Form Mobile App you can rest a little easier by permitting your child's daycare/childcare facility to dispense OTC (over the counter) medications to your child. Make sure you download this app to your Smartphone before you send your child to daycare.

Provide your child care staff with a full medication list, authorization form, physician information and all health concerns all in one form.

Whether you are providing consent for sunscreen, or for the administration of Tylenol, aspirin, or prescription medications, protect your child, yourself and the daycare staff with this consent form. Type in notes and any special instructions including dosage, time of dosage and special precautions. Finalize the consent form with the contact information of all approved emergency contact people.

After completing the checklist for each medication, collect the electronic signatures of any daycare worker approved to administer to your child. Save the completed approval form safely and securely to the GoCanvas Cloud. Generate a PDF form and send the approval to the daycare owner, health care provider, school nurse and school administrator as needed.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Daycare OTC Medication Form Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    Child's Name

  • Ico date

    Date

  • Ico statictext

    I hereby give (Daycare/Child-Care Facility) permission to apply or give one or more of the follow...

  • Ico textbox

    Daycare/Child-Care Facility

  • Ico checkbox

    Tylenol*

  • Ico checkbox

    Baby Wipes*

  • Ico checkbox

    Band-Aids

  • Ico checkbox

    Neosporin, Bacitricin, or similar ointment

  • Ico checkbox

    Bactine or similar first aid spray

  • Ico checkbox

    Sunscreen*

  • Ico checkbox

    Insect Repellent*

  • Ico checkbox

    Non-Prescription Ointment (Such as A & D, Desitin, Vaseline)*

  • Ico checkbox

    Powder*

  • Ico checkbox

    Baby Lotion*

  • Ico checkbox

    *Other

  • Ico textbox

    If Other, please specify:

  • Ico statictext

    * Denotes items to be supplied by parents if use is requested.

  • Ico multiline

    Specify frequency and duration of use:

  • Ico multiline

    Special Instructions:

  • Ico statictext

    Note: If the instructions for administering the medication, cream, etc.

  • Ico statictext

    I hereby request that (Daycare/Child-Care Facility) administer one or more of the above over the ...

  • Ico textbox

    Daycare/Child-Care Facility

  • Ico date

    Consent Expiration Date

  • Ico dropdown

    Parent

  • Ico signature

    Signature

  • Ico date

    Date

  • ...and More!

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