Abundant Love Christian Daycare

Medication Administration Permission for Over-the-Counter Topical Medications and Fluoridated Toothpaste.

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Medication Administration Permission for Over-the-Counter Topical Medications and Fluoridated Toothpaste.

Please complete this Medication Authorization Form to grant Abundant Love Christian Daycare staff permission to apply necessary over-the-counter, topical treatments and oral medications as specified for your child. Your authorization ensures that we can provide timely and appropriate care in accordance with your preferences and our safety protocols.

Childs Infromation

Child's Name
Child's Name
First
Last

Administering Instructions

Fluoridated toothpaste should be a rice sizectsmear for children under 3 and pea sized for children 3 and over.

Permission may be given for up to i2 months.

Where to apply Medications/ Fluoridated Toothpaste
When to Apply

Permission

I give permission to my child care provider to apply the medication listed above as instructed:

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