[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-288993-105":53,"doc-detail-288993-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","medication-authorization-form-and-administration-log-form","Medication Authorization Form and Administration Log - Form","","Medication may be administered to a child only when specific safeguards and documentation are in place, including a signed and dated parent authorization form and correctly labeled prescription medication in its original container. The form collects medication name, dosage, administration time and method, side effects, refrigeration needs, and parent/guardian authorization. The administration log requires daily tracking of each dose, including date, time, dosage, staff signature, and observed potential side effects, with records retained for at least two years.",{"@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/medication-authorization-form-and-administration-log-form/288993/",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/medication-authorization-form-and-administration-log-form/288993.png","ImageObject",442,249,{"name":88,"@type":89},"Lute","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-09-21","2026-09-17",true,{"@type":98,"interactionType":99,"userInteractionCount":73},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What conditions must be met before a child can receive medication?","Question",{"text":108,"@type":109},"A signed and dated parent authorization form must be on file for each medication. The prescription must be in its original container and labeled with the child’s name, drug name, dosage, administration directions, date, and physician’s name.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"How should medication be stored and what safety practices are required?",{"text":113,"@type":109},"All medications must be inaccessible to children, using child-resistant caps when available and stored away from food. Refrigeration-required medications must be stored in a separate tightly covered container with a child-proof lock or latch and clearly marked medication.",{"name":115,"@type":106,"acceptedAnswer":116},"What must be documented after medications are administered?",{"text":117,"@type":109},"Programs must immediately document medication administration, including the date, time, dosage, the medication given by (signature), and any potential side effects observed. This record must be kept in the child’s file for at least two years.","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},288993,1790006841,{"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":73,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":73,"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":9},137454149569,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","Medication may be given to a child under the following conditions:  \n1. A medication authorization form signed and dated by the parent is on file. Complete a separate form for each medication.  \n2. Prescription medication is in the original container and labeled with the child’s name, name of drug, dosage and directions for administering, date and physician’s name.  \n3. For chronic medical conditions, a certified child care center may obtain permission for 12 months or less with specific instructions including when administration is needed, such as inhalers.  \n4. All medications are inaccessible to children, with child-resistant caps when available, and stored away from food.  \n5. Medications requiring refrigeration are kept in the refrigerator in a separate tightly covered container with a child‐proof lock or latch, clearly marked medication.  \n6. Parents are informed daily of medications administered to their child.  \n7. Programs must immediately document the administration of any medication.  \nChild’s Name:   Date:    \nMedication Name:  Dosage:   Time to be given:   How is the medication to be given:    \nPossible side effects:    \nDoes this medication require refrigeration: yes / no Dates to be given from:   to    \nI authorize the child care program to dispense the above medication in accordance with the administration information.  \nParent/Guardian Signature:   Date:    \n\n| Date | Time | Dosage | Medication given by (signature) | Potential side effects observed |\n| --- | --- | --- | --- | --- |\n|  |  |  |  |  |\n|  |  |  |  |  |\n|  |  |  |  |  |\n|  |  |  |  |  |\n|  |  |  |  |  |\n\n\n| Date | Time | Dosage | Medication given by (signature) | Potential side effects observed |\n| --- | --- | --- | --- | --- |\n|  |  |  |  |  |\n|  |  |  |  |  |\n|  |  |  |  |  |\n|  |  |  |  |  |\n|  |  |  |  |  |\n|  |  |  |  |  |\n|  |  |  |  |  |\n|  |  |  |  |  |\n|  |  |  |  |  |\n|  |  |  |  |  |\n|  |  |  |  |  |\n|  |  |  |  |  |\n|  |  |  |  |  |\n\nCompleted medication should be returned to the parent.  \nThis record must be maintained in the child’s file for at least two years. Child’s Name:  \n_________________________  \nMedication:    \nAttach additional pages, if necessary.","cbCaigw3DFhoDcJq","https://ap.wps.com/l/cbCaigw3DFhoDcJq","pdf",167229,"English","# Medication Authorization Requirements\n## Parent authorization and documentation\n## Medication storage and safety conditions\n# Medication Authorization Form Details\n## Child and medication information\n## Authorization and refrigeration status\n# Administration Log\n## Daily recording of administered medication\n## Side effects and staff signatures\n# Record Retention and Forms Attachment","[{\"question\":\"What conditions must be met before a child can receive medication?\",\"answer\":\"A signed and dated parent authorization form must be on file for each medication. The prescription must be in its original container and labeled with the child’s name, drug name, dosage, administration directions, date, and physician’s name.\"},{\"question\":\"How should medication be stored and what safety practices are required?\",\"answer\":\"All medications must be inaccessible to children, using child-resistant caps when available and stored away from food. Refrigeration-required medications must be stored in a separate tightly covered container with a child-proof lock or latch and clearly marked medication.\"},{\"question\":\"What must be documented after medications are administered?\",\"answer\":\"Programs must immediately document medication administration, including the date, time, dosage, the medication given by (signature), and any potential side effects observed. This record must be kept in the child’s file for at least two years.\"}]","Medication Authorization Form and Administration Log - Form | PDF",1789634353]