WebNEW YORK STATE. OFFICE OF CHILDREN AND FAMILY SERVICES. Log of Medication Administration. Complete this section if the above medication was not given as written on the child’s written consent form . Date Not Given Description of reason why medication not given. Parents notified Signature of Provider Yes . No Yes . No Yes . No Yes . No Yes

Sunscreen: How to Help Protect Your Skin from the Sun

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Parent’s/Guardian’s Permission To Apply Sunscreen To Child

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