Medication Incident Report

Linked here is a copy of the Incident Report Form that will be completed if a medication incident happens for medications a child’s parent/legal guardian has provided written permission to administer following the policy within the handbook.

A copy of this report will be maintained as part of a child’s record for at least 3 years after discontinuation of care.

A child’s parent/legal guardian can request a copy of any Medication Incident Report.

A child’s parent/legal guardian signature is secured when informed of the incident.