Medium

Available on

Apple Android Windows

Daycare OTC Medication Form Mobile App

Use this mobile app to permit a daycare/childcare facility to use OTC (over the counter) medications with your child.

  • 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

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more 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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