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EXCEL CHILDCARE CENTER
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Pick Up/Drop Off Times and Payment (FEES) FORMS
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Home
About
Forms
Waitlist
Child Release Form
Pick Up/Drop Off Times and Payment (FEES) FORMS
Allergy Care Plan Form
Medical Form
Immunization Form
Registration Form
School
Policy and Procedures
Photo Gallery
Hours of Operation
Care Givers
Contacts
Medical Form
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MEDICAL FORM
Medication may be only given with a prescription, stored in the original bottle with a clear label indicating child’s name, prescribing doctors name and pharmacy information child must have had medication at least 24hrs at home prior to having it at childcare. A proper, clearly labelled oral syringe or measuring spoon must be provided.
Child's Name
*
First
Last
Name of Medication
Dosage
Time of Dosage
Parent/Guardian Signature and Date
*
Date | Dosage | Time | Given By :
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