• OVER-THE-COUNTER TOPICAL MEDICATIONS PERMISSION FORM

    Please remember that sunscreen/creams provided from home MUST be in the original container with ingredients listed and with the child's name clearly written on the outside of the container.
  • Medication Administration Permission for Over-the-Counter Topical Medications and Fluoridated Toothpaste

    Parent/guardian must authorize staff to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, powders and fluoridated toothpaste. Sunscreen and baby lotion are examples. Only accept items in their original containers and clearly labeled with the child’s name. Keep insect repellents in locked storage and all other items out of reach of children when not in use.

  • Permission may be given for up to 12 months. 

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  • I give permission to my child care provider to apply the medication listed above as instructed:

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  • NC Child Care Health and Safety Resource Center and NC DHHS DCDEE Updated November 2017

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