[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-286743-105":53,"doc-detail-286743-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","medical-authorization-form-boys-and-girls-club-of-hawthorne","Medical Authorization Form - Boys and Girls Club of Hawthorne","","This document serves as an official medical authorization form for the Boys and Girls Club of Hawthorne, providing a structured template for parents or legal guardians to grant consent for staff to administer prescribed medication to their children. The form outlines essential requirements, including the necessity for medication to be supplied in its original pharmaceutical packaging, clear identification of the child and physician, and specific dosage instructions. By completing this form, guardians ensure that club staff are properly informed and empowered to handle a child's medical needs during operational hours. The document emphasizes safety protocols, strictly requiring that all medication labels include both the physician’s and the member’s name, and mandates that all required medications must be provided prior to the child's initial attendance date to ensure a safe transition into the program environment.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/medical-authorization-form-boys-and-girls-club-of-hawthorne/286743/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/medical-authorization-form-boys-and-girls-club-of-hawthorne/286743.png","ImageObject",442,249,{"name":88,"@type":89},"Maya Linwood","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-09-27","2026-09-17",true,{"@type":98,"interactionType":99,"userInteractionCount":47},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"Who is authorized to administer medication?","Question",{"text":108,"@type":109},"All Boys and Girls Club staff members are authorized to see that the child receives the prescribed medication as per the signed form.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"What is the requirement for medication packaging?",{"text":113,"@type":109},"Medicine must be provided by the parent or guardian in its original bottle with the physician’s and member’s name clearly on the label.",{"name":115,"@type":106,"acceptedAnswer":116},"When must the medication be provided?",{"text":117,"@type":109},"All medications and the signed authorization form must arrive at the club before the child’s first day of attendance.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},286743,1790319077,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":47,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":9,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":139,"read_time":4},962084928432,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","MEDICAL AUTHORIZATION FORM  \nI   authorize ALL Boys & Girls Club Staff members to see that my child Parent’s Full Name  \n  receives medication prescribed by   .  \nChild’s Full Name Child’s Physician’s Name  \n• This medication is to be furnished by parent/guardian with the name of the medicine, the amount to be given and the correct time of day to be given.  \n• Medicine must be in the ORIGINAL bottle.  \n• The physician’s and members’ name MUST be on the label.  \nMEDICATION MUST ARRIVE BEFORE CHILD’S FIRST DAY .  \nParent’s/Legal Guardian’s Name (SIGNATURE):  \nDATE:","cbCaifsHw1aVdO7O","https://ap.wps.com/l/cbCaifsHw1aVdO7O","pdf",95878,"English","# Medical Authorization Guidelines\n## Medication Requirements and Protocols","[{\"question\":\"Who is authorized to administer medication?\",\"answer\":\"All Boys and Girls Club staff members are authorized to see that the child receives the prescribed medication as per the signed form.\"},{\"question\":\"What is the requirement for medication packaging?\",\"answer\":\"Medicine must be provided by the parent or guardian in its original bottle with the physician’s and member’s name clearly on the label.\"},{\"question\":\"When must the medication be provided?\",\"answer\":\"All medications and the signed authorization form must arrive at the club before the child’s first day of attendance.\"}]","Medical Authorization Form - Boys and Girls Club of Hawthorne | PDF",1789631499]