What is your daycare center's philosophy?

Our daycare center believes in providing a nurturing and educational environment where children can learn, play, and grow together.

Is your staff trained and certified?

Yes, our staff members are highly trained and certified in early childhood education and first aid.

What activities do you offer for children?

We provide a wide range of age-appropriate activities, including arts and crafts, outdoor play, storytime, music, and more.

What is your approach to discipline?

Our discipline approach focuses on positive reinforcement and teaching children appropriate behavior through guidance and communication.

How do you communicate with parents about their child's progress?

We maintain open communication with parents through regular updates, parent-teacher conferences.

NON-MEDICATION CONSENT FORM

This form may be used when a parent Consents to having over-the-counter products administered to their child in a child day care program. These products include, but are not limited to: topical ointments, lotions and creams, sprays, sunscreen products and topically applied insect repellant.

This form should NOT be used to meet the consent requirements for the administration of the following: prescription medications, oral over-the-counter medications, medicated Patches, and eye, ear, or nasal drops or sprays. OCFS Form 7002 would meet the consent requirements for medications.

One form must be completed for each over-the-counter product, Multiple products cannot be listed on one form.

This form must be completed in a language in which the staff is literate.

If parent's instructions differ from the instructions on the product's packaging, permission must be received from a health care provider or licensed authorized prescriber.

PARENT TO COMPLETE THIS SECTION

Child's first and last name*

Date of birth*

Child's known allergies:*

Name of product (including strength)*

Amount to be administered*

Route of administration*

7A. Frequency to be administered, include times of day if appropriate

7B. Identify the conditions that will necessitate administration of the product (signs and symptoms must be observable prior to administration):

Possible side effects

See product label for complete list of possible side effects (parent must supply)

Additional side effects

What action should the child care provider take if side effects are noted

Contact parent

Other (describe)

Special instructions

See package insert for complete list of special instructions (parent must supply)

Additional special instructions

Reason(s) for use (unless confidential by law)

Parent Name*

Child's Parent Signature

NON-MEDICATION CONSENT FORM

PARENT TO COMPLETE THIS SECTION

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