Consent to Administer Medication Form

The Consent to Administer Medication Form needs to be completed if a child/participant in any MSCR program would need MSCR staff to administer medication (includes Epi-pens and inhalers). This would occur only if a parent/guardian is not present, for situations such as (but not limited to):

  • Camps
  • Childcare Programs
  • Afterschool Programs

Please complete the Consent to Administer Medication Form (the form is in both English and Spanish), and return to the MSCR Office Program Assistant of the program.

For additional information call (608) 204-3000.

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