Medication Authorization Form--CNICCYP 1700/08

The Medication Authorization Form is required for all children who need to take prescription medications while at the CYP. The form must be signed by a physician and include written instructions pertaining to the type of medication(s), dosage, frequency, and duration of the medication administration period as prescribed by the physician (e.g., 3 weeks, 1 year, indefinite, etc.). The parent must sign the form to indicate his/her consent for staff to administer the medication to the child while in care at the CYP.