Medication Form

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Medication Form

This is the Rainbow online parent approval form for administering medication. I give permission for the practitioners to administer this medication up to 30 minutes after the time I have stated. I understand that a time will be calculated by a manager for the second dose (if applicable) taking into account the late administration.

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* Indicates required question

Child's name *

Your answer

Child's date of birth *

Your answer

Your name *

Your answer

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