Authorization to Administer Medication
Document Number: DWSW-13132-H
Document Title: Authorization to Administer Medication
Description: This form must be completed by parent or guardian
prior to provider dispensing medication to child. The form is to be placed
in the child's file when medication is no longer required/authorized.
Division: Workforce Solutions
Comments: New Form - 07/2002. This is the Hmong version translated
10/2002.
Document Attachment: DWSW-13132-H
Software: Acrobat
The software required to view the "Document Attachment" can be downloaded from the URL located directly below the link. Thank you.