Eastern Oregon Head Start s3
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EASTERN OREGON HEAD
START Eastern Oregon University One University Boulevard La Grande, OR 97850 541-962-3798 Medication Administration in the Classroom Parent Update
Date: ______
Child Name: ______Parent Name: ______
In keeping with the orders given by your Health Care Provider: ______
Your child has been given these medications: ______
Behavioral observations of your child on medications are as follows: ______
______You are welcome to inspect the Medication Logs in your child’s file at any time.
Staff Signature: ______Phone Number: ______
BA BB BC E LGA LGB LGC LGD U Revised 2011
Forms/Child Health and Development/Health/Medication Administration in the Classroom Parent Update
EASTERN OREGON HEAD
START Eastern Oregon University One University Boulevard La Grande, OR 97850 541-962-3798 Medication Administration in the Classroom Parent Update
Date: ______
Child Name: ______Parent Name: ______
In keeping with the orders given by your Health Care Provider: ______
Your child has been given these medications: ______
Behavioral observations of your child on medications are as follows: ______
______You are welcome to inspect the Medication Logs in your child’s file at any time. Staff Signature: ______Phone Number: ______
BA BB BC E LGA LGB LGC LGD U Revised 2011
Forms/Child Health and Development/Health/Medication Administration in the Classroom Parent Update