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Can be emailed to: firstname.lastname@example.org
Can be faxed to: eFax number 1-614-807-6250
Required Form 49968 MEDICATION AUTHORIZATION, is the form to be completed by your child's physician in the event that your child will need any type of medication or breathing treatments while in my care. This is a state mandatory form, and no medication (EVEN NON-PRESCRIPTION MEDICATIONS) can be administered without appropriate, up to date, dosage documentation.