KENTUCKY STATE UNIVERSITY Cooperative Extension Program 4-H Youth Development Medical Information and Authorization PARENT/GUARDIAN AUTHORIZATION AND RELEASE
PARTICIPANTNAME:___
SECTION 4. MEDICATION ADMINISTRATION PROCEDURES
The 4-H Youth Programs follow a Medication Administration Procedure to protect all participants and staff.
Prescription Medications
Must be in original containers with proper instructions
Must be listed on the Medication Form
Must be labeled with participant name
Will be stored and administered by authorized staff only
Daily medication logs will be maintained
Over-the-Counter Medications
Cannot be administered without parent/guardian permission
Must be provided and listed on the Medication Form
Emergency Situations
911 will be contacted immediately
Parent/guardian will be notified