Example Of A Typical Product Consent Form

[MarinaVanessa]

(sorry, it's supposed to be Topical Product Consent Form )
I have decided to change my medication policy from "prescription medication and consent from a doctor" to "no medication will be administered at daycare at all".

The only exclusion that I will have is topical products such as sunscreen and even diaper rash ointment etc. Do any of you have a consent form specifically for topical ointments? So far I have been using the generic form that our state provides but it's meant for prescription and OTC medication. I was interested on a form that didn't require me to write down every time that I used it. Thanks everyone.

P.S. I did a tag search and found threads but not for actual examples of a topical product consent form.

[Blackcat31]

Why not just have the parents write a sentence saying you can apply ______ as necessary or on the no medication for have it say "No medication (with the exception of topical creams) will be administered......."

I have the no medication rule but have never given much thought to the topical cream issue because most of that is provided by the parent and is required to be labeled with their names so I assumed them bringing it and labeling it IS consent...(:confused.

[MarinaVanessa]

Not necessarily. There was an issue where I live where DCP's dropped off a 10mo and left his diaper bag with provider. She used a new unopened package of diaper cream that was in the bag and he had an allergic reaction to it. Provider called DCP's, DCP's picked up DCB and took him to hospital. DCP's had no insurance so they got a bill form hospital so they sued provider. Provider lost because she did not have permision from DCP's to use the cream. Apparently it was a new brand that they had never tried on baby and it turned out he was allergic to something in it.

So... I don't want to take any chances. No medication and only diaper rash ointment or sunscreen if the parent's give me written permission to use that specific type. I was even thinking about supplying my own ointment and sunscreen and having them sign off for that brand.

[Blackcat31]

Wow! That is good to know. I will have to ammend my "medication" policy to include information on topical creams.

I thought about supplying stuff too but it is so expensive that I just don't know if it is worth it or not. Maybe I could add a $5 fee for the "sunscreen" months and a small $?? yearly fee for those in diapers.

I just keep thinking about how much sunblock we really do go through every summer. Plus it seems each parent prefers or wants a specific kind of diaper cream. Also what works for one child, doesn't always work well for another. Sorry, I am just thinking outloud now about all this.

[MarinaVanessa]

Wow! That is good to know. I will have to ammend my "medication" policy to include information on topical creams.

I thought about supplying stuff too but it is so expensive that I just don't know if it is worth it or not. Maybe I could add a $5 fee for the "sunscreen" months and a small $?? yearly fee for those in diapers.

I just keep thinking about how much sunblock we really do go through every summer. Plus it seems each parent prefers or wants a specific kind of diaper cream. Also what works for one child, doesn't always work well for another. Sorry, I am just thinking outloud now about all this.

Don't be sorry, this is all exactly what I am mulling about. The provider is a friend of mine and I just got the call that she lost her case. She's so flippin mad! I think she said it was upwards $5,000 for an emergency room visit . I think I'll have each parent list what brands they are ok with me using because, like you said, it gets expensive.

[Blackcat31]

Holy Cow! $5000!! One would think the parents should have some liability in that case since THEY brought the cream (even though it was only in the bag) it was brought into the providers home and obviously the provider did nothing maliciously to hurt the child. I am sure she feels awful about it as it is.... Wow! I can't believe that happened to her.

I suppose if the provider had called and asked about using the cream they would have verbally consented and she still would have been liable for not having proof of consent. :confused:

That is a great example of why parents and kids should NEVER bring anything into a providers home besides the kid. I didn't have rules about toys, food or car seats from home until I joined this forum.

It is also a great example of why EVERY stupid little thing needs to be in writing...

.....WOW! I am still just "wow-ing" about that whole deal. Send some virtual hugs to your friend from me.


Try this site: http://thedaycarelady.com/form4.htm

Under the letter "O" there is a nice form for OTC medications and a spot to sign off for permission.

[Country Kids]

Don't worry Blackcat its amazing what providers don't think of that they need permission forms for. I figure if you really look at it all your permission forms could be about 10+ pages long!

Sunscreen
Diaper Cream
Hand Sanitizer
Band Aids
Latex Gloves
Wipes
Boogie Wipes
Soaps
Lotions
Medication
Water Play
Bubble Bath/Color Changers for water play
Cinnamon=Alot of crafts at Christmas call for Cinnamon, you know how many kids are allergic to Cinnamon!!!!

I actually educated a person at CCR&R about everything a person should have or is required to have permission forms on-she was shocked!!!!

My licensor was shocked when I asked about water play and she said no one ever read the book but yes we should have permission forms for water play!

[Blackcat31]

Don't worry Blackcat its amazing what providers don't think of that they need permission forms for. I figure if you really look at it all your permission forms could be about 10+ pages long!

Sunscreen
Diaper Cream
Hand Sanitizer
Band Aids
Latex Gloves
Wipes
Boogie Wipes
Soaps
Lotions
Medication
Water Play
Bubble Bath/Color Changers for water play
Cinnamon=Alot of crafts at Christmas call for Cinnamon, you know how many kids are allergic to Cinnamon!!!!

I actually educated a person at CCR&R about everything a person should have or is required to have permission forms on-she was shocked!!!!

My licensor was shocked when I asked about water play and she said no one ever read the book but yes we should have permission forms for water play!

You know, one would thing that the enrollment form IS permission to care since we all seem to have a pretty indepth interview process. I cannot believe that it has come to the point that we have to literally spell EVERYTHING out for people!!

What happened to good old fashion trust and communication?

I get that it is all for protection and liability purposes but really, this world has seriously taken a turn down a dark and shady path. :confused:

[MarinaVanessa]

Yep and leave it to one person to ruin it for the rest . I would never have imagined being sued by a parent because they were unprepared for medical emergencies (not having medical insurance). I bet if the parents would have had medical insurance and all they would have had to pay for was a co-pay for the emergency room visit they wouldn't have sued the provider.

But because they had a medical bill that they coudn't afford they decided to sue the provider and tack in onto her .

For the record I'd like to update: I talked to the provider again and apparently she was being sued for $4,200 for the medical bill, court costs and lawyer fees etc. The judge found that because the provider didn't have specific permission to use that cream (even though she had always used whatever they had provided in the bag and the parents were ok with this) the liability fell on her. However the judge did apparently say that the parents are also held liable and so the judgment was in favor of the parents but for only half of the amount and he denied the parents's lawyer and court cost fees.

Apparently she got a copy of the emergency room bill and one of the fees that she saw was a $500 charge to have a doctor sign for a nurse to administer an IV of fluids . THAT"S JUST SIGN OFF ON IT! The rest of the fee's were for the e-room doctor's time, the IV fluids themselves and some ointment for the skin irritation. Thank goodness I have liability insurance.

[sharlan]

Yep and leave it to one person to ruin it for the rest . I would never have imagined being sued by a parent because they were unprepared for medical emergencies (not having medical insurance). I bet if the parents would have had medical insurance and all they would have had to pay for was a co-pay for the emergency room visit they wouldn't have sued the provider.

But because they had a medical bill that they coudn't afford they decided to sue the provider and tack in onto her .

For the record I'd like to update: I talked to the provider again and apparently she was being sued for $4,200 for the medical bill, court costs and lawyer fees etc. The judge found that because the provider didn't have specific permission to use that cream (even though she had always used whatever they had provided in the bag and the parents were ok with this) the liability fell on her. However the judge did apparently say that the parents are also held liable and so the judgment was in favor of the parents but for only half of the amount and he denied the parents's lawyer and court cost fees.

Apparently she got a copy of the emergency room bill and one of the fees that she saw was a $500 charge to have a doctor sign for a nurse to administer an IV of fluids . THAT"S JUST SIGN OFF ON IT! The rest of the fee's were for the e-room doctor's time, the IV fluids themselves and some ointment for the skin irritation. Thank goodness I have liability insurance.

UNREAL!!! But I do believe it.

[daycare]

Yep and leave it to one person to ruin it for the rest . I would never have imagined being sued by a parent because they were unprepared for medical emergencies (not having medical insurance). I bet if the parents would have had medical insurance and all they would have had to pay for was a co-pay for the emergency room visit they wouldn't have sued the provider.

But because they had a medical bill that they coudn't afford they decided to sue the provider and tack in onto her .

For the record I'd like to update: I talked to the provider again and apparently she was being sued for $4,200 for the medical bill, court costs and lawyer fees etc. The judge found that because the provider didn't have specific permission to use that cream (even though she had always used whatever they had provided in the bag and the parents were ok with this) the liability fell on her. However the judge did apparently say that the parents are also held liable and so the judgment was in favor of the parents but for only half of the amount and he denied the parents's lawyer and court cost fees.

Apparently she got a copy of the emergency room bill and one of the fees that she saw was a $500 charge to have a doctor sign for a nurse to administer an IV of fluids . THAT"S JUST SIGN OFF ON IT! The rest of the fee's were for the e-room doctor's time, the IV fluids themselves and some ointment for the skin irritation. Thank goodness I have liability insurance.

true story..

a mom sued her ex-husband in Orange COunty Ca. because the father neglected to apply sunscreen on their 3year old daughter while having a day out at the beach. The child was sunburned pretty bad and mother took dad to court for full custody, no visitation due to neglect....Mom won..

I always have my parents sign for anything I put on their child other than water.... I even made them sign for temp tattoos that we had for a party...crazy, but I wanted to cover my butt.

[sharlan]

Holy Cow! $5000!! One would think the parents should have some liability in that case since THEY brought the cream (even though it was only in the bag) it was brought into the providers home and obviously the provider did nothing maliciously to hurt the child. I am sure she feels awful about it as it is.... Wow! I can't believe that happened to her.

I suppose if the provider had called and asked about using the cream they would have verbally consented and she still would have been liable for not having proof of consent. :confused:

That is a great example of why parents and kids should NEVER bring anything into a providers home besides the kid. I didn't have rules about toys, food or car seats from home until I joined this forum.

It is also a great example of why EVERY stupid little thing needs to be in writing...

.....WOW! I am still just "wow-ing" about that whole deal. Send some virtual hugs to your friend from me.


Try this site: http://thedaycarelady.com/form4.htm

Under the letter "O" there is a nice form for OTC medications and a spot to sign off for permission.

I took one of the forms from that site and revamped it for my 8 yo.

"I give permission for my daycare provider, ***x, to administer the following OTC medications or external preparations in accordance with the manufacturer's written instructions or as otherwise specified by a physician. I understand that I will be contacted by phone or text before any oral medication is used. Toothpaste is used daily. First aid medications are used on an "as needed" basis." I listed the following:

toothpaste
sunscreen
lip balm
band-aids/tape
anti itch cream/spray
hand sanitizer
antiseptic spray/wash/ointment
decongestant
cough syrup
antihistamine
tylenol
motrin
anti diarrheal

[daycare]

https://mail-attachment.googleusercontent.com/attachment?ui=2&ik=fddbd28d44&view=att&th=1306badf0cff76c2&attid=0.1&disp=inline&realattid=f_gon9sz9i0&safe=1&zw&saduie=AG9B_P_60G7O_G6BtGjLaGFFS1KP&sadet=1320356539488&sads=C_1zsTOzYxwO84uzw8mlD13c1iQ&sadssc=1

Hope it posted right. this is what I use and have changed it for my other creams or topicals..

[MarinaVanessa]

https://mail-attachment.googleuserco...3c1iQ&sadssc=1


Hope it posted right. this is what I use and have changed it for my other creams or topicals..

I got a server error message . I was looking forward to seeing yours too.

Thanks Sharlan! It at least can get me started . I like how you worded it, awesome thanks!