Montana licensed child care providers use this two-page plan for a child with special health needs or medication given during care, and the child's health care provider must approve it. It tells caregivers which medications to give, what accommodations the child needs through the day, when to call parents or 911, and what training staff may need.
The plan must be approved and signed by the child's health care provider. The parent signs consent for the provider or specialist to talk with the child care provider and may add notes.
Download the current version from the source each time; forms change without notice.
Health Care/Medication Plan
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The form is headed 'To be approved by a Health Care Provider' and has a health care provider signature and date line on page two. The parent signs separately to allow the provider or specialist to communicate with the child care provider.
The top of the plan lists the parent or guardian, the primary health care provider and specialty providers with their specialties and telephone numbers, followed by the child's diagnoses and allergies.
No. Montana child care licensing lists a separate Medication Authorization Form. This plan covers the broader care of a child with special health needs, including routine medications, accommodations, equipment, emergency steps and staff training.